| 摘要: |
| ［摘要］ 目的 探讨急性肠系膜上动脉栓塞（acute superior mesenteric artery embolism,ASMAE）早期诊断及早期治疗要点，避免误诊，降低致残及致死率。方法 对2004-01～2011-01该院收治的46例ASMAE患者的临床资料进行回顾性分析。结果 病程1 h～10 d，46例均经上腹CT及腹部计算机断层X线血管造影(CTA)检查确诊为ASMAE。手术切除肠管28例，经皮介入肠系膜上动脉置管溶栓10例，肠系膜上动脉切开取栓血管再成型8例。围手术期死亡5例，短肠综合征8例，随访3年死亡，其余33例随访3年，恢复良好。结论 如出现突发剧烈腹痛和不典型的腹部体征，应警惕是ASMAE，尽早行腹部CTA检查，早期确诊、早期治疗是降低致残及致死率的关键。 |
| 关键词: 急性肠系膜上动脉栓塞 治疗 |
| DOI：10.3969/j.issn.1674-3806.2016.01.10 |
| 分类号:R 572.3 |
| 基金项目: |
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| Diagnosis and treatment of acute superior mesenteric artery embolism |
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TONG Lin-long, TONG Xian-zhou
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Department of Vascular Surgery, the People′s Hospital of Zhengzhou City, Henan 450003, China
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| Abstract: |
| ［Abstract］ Objective To investigate the key points in the early diagnosis and early treatment of acute superior mesenteric artery embolism(ASMAE), to avoid misdiagnosis, and to reduce disability and mortality rate.Methods The clinical data from January 2004 to January 2011, of ASMAE in 46 cases were retrospectively analyzed.Results The course of disease was within 1 hour to 10 days. 46 patients were treated with abdominal CT and abdominal computed tomography angiography(CTA) examination to confirm the diagnosis of ASMAE. The intestinal resection was performed on 28 cases and percutaneous superior mesenteric artery catheter thrombolysis was performed on 10 cases. The superior mesenteric artery thrombectomy vascular reforming was done in 8 cases. 5 patients died perioperatively. 8 patients had short bowel syndrome and all died within a follow-up of 3 years. The rest 33 cases were followed up for 3 years and all recovered well.Conclusion At the early stage of ASMAE, if the sudden severe abdominal pain symptoms do not match with atypical signs, ASMAE should be done as early as possible. Abdominal CTA examination, early diagnosis and early treatment for the disease are the key points to reduce the disability and mortality rates. |
| Key words: Acute superior mesenteric artery embolism(ASMAE) Treatment |
