Diagnostic contribution by the radiographer：A case of superior mesenteric artery dissection in a rural hospital

機関リポジトリ

書誌事項

タイトル別名
  • 放射線技師の診断への貢献：遠隔地診療施設における上腸間膜動脈解離の１例

この論文をさがす

抄録

A 59-year-old man presented with sudden onset of severe epigastric pain at the emergency room of a rural hospital. The emergency physician ordered abdominal computed tomography （CT）, and a radiographer （non-physician） notified the physician that the Hounsfield units in the lumen of the superior mesenteric artery（ SMA） were elevated. A contrast-enhanced CT study was then added and revealed SMA dissection. The patient was transferred to a tertiary hospital. On the same day, rupture of the middle colic artery occurred. Massive blood transfusion and emergent surgery were life-saving. Appropriate transfer of a seriously ill patient to the referral hospital based on a correct diagnosis is crucial in rural medicine. In Japan, CT is deployed even in rural areas, although remote image interpretation systems are not yet functioning sufficiently. The real-time interpretation of CT images by the radiographer can contribute to the diagnosis of critical disorders, especially in emergencies occurring in rural area.

収録刊行物

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ