急性肠系膜血管供血不全的诊治及误诊分析

Analysis of Diagnosis,Treatment and Misdiagnosis of Acute Mesenteric Ischemia

目的 :探讨急性肠系膜血管供血不全的诊治及误诊原因。方法 :对收治的 11例临床资料进行回顾性分析。结果 :本组误诊为肠梗阻并急性腹膜炎 5例 ,胃肠急性穿孔 2例 ,急性胰腺炎 2例 ,误诊率 81.8% ,病死率为 6 3.3%。结论 :充分认识该病 ,早期诊断 ,减少误诊率 ,综合治疗是提高本病疗效的关键。

Objective:To study the diagnosis,treatment and the reasons of misdiagnosis of acute mesenteric ischemia.Methods:The clinical data of 11 cases of acute mesenteric ischemia diagnosed by both operatoin and pathology were analyzed retrospectively.Results:9 cases were misdiagnosed preoperatively as acute peritonitis of obstruction(5 cases),acute perforation of gastrointestin(2 cases),acute pancreatitis(2 cases).The midiagnosis rate was 81.8%.The mortality was 63.3%.Conclusion:A better comprehension of this disease,early diagnosis,lower misdiagnosis rate with comprehensive treatment and prompt treatment are the keys to management of the disease.