急性肠系膜缺血性疾病的诊断与治疗

Diagnosis and treatment of acute mesenteric ischemia

目的探讨急性肠系膜血管缺血性疾病的诊断和治疗方法。方法回顾性分析16例急性肠系膜缺血性疾病患者的临床资料。结果14例患者行手术治疗(7例存活,7例死亡),另2例行保守治疗。结论选择性血管造影及腹部CT对早期诊断急性肠系膜血管缺血性疾病有重要意义,对早期切除坏死肠管及术后使用抗凝剂在减少死亡率及复发中起重要作用。

Objective To explore the diagnosis and management of acute mesenteric ischemia (AMI). Methods Clinical data of 16 patients with AMI in the past 13 years were analyzed retrospectively. Results 14 patients were operated (7 recovered, 7 died). 2 patients were treated with conservative management. Conclusions Selective angiography and abdomen CT are effective examinations for the diagnosis of AMI. Early resection of necrotic bowel and application of anticoagulant postoperatively are essential to reduce the mortality and recurrence of AMI.