Hypovolemic shock in children: abdominal CT manifestations.
Hypovolemic shock in children: abdominal CT manifestations.
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DOI：
10.1148/radiology.164.2.3602389
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发表时间：
1987-08
期刊：
影响因子：
19.7
通讯作者：
G. Taylor;M. Fallat;M. Eichelberger
中科院分区：
文献类型：
--
作者：
G. Taylor;M. Fallat;M. Eichelberger
作者描述了一种“低灌注复合物”，在腹部计算机断层扫描上可见，包括明显的弥漫的肠道扩张和液体；肠壁、肠系膜、肾脏和/或胰腺造影剂异常强化；腹主动脉及下腔静脉口径减小；以及中度到大量腹膜积液。该复合体出现在3例2岁以下的患者中，并与严重损伤和不良预后相关。认识到这一系列的发现可能有助于直接关注患者严重的血流动力学异常，就像关注单个器官缺陷一样。
The authors describe a "hypoperfusion complex," seen on abdominal computed tomography, which consists of marked, diffuse dilatation of the intestine with fluid; abnormally intense contrast enhancement of the bowel wall, mesentery, kidneys, and/or pancreas; decreased caliber of the abdominal aorta and inferior vena cava; and moderate to large peritoneal fluid collections. This complex was present in three patients less than 2 years of age and was associated with severe injury and a poor outcome. Recognition of this constellation of findings may help direct attention to the patient's serious hemodynamic abnormality as much as to individual organ defects.