急性肠系膜血管供血不全的诊断和治疗

The Dignssis and treatment of the Intestine Tenue Mesenterials Infarction

本文报道经手术确诊的１１例急性肠系膜血管供血不全。分类：ＳＭＡ栓塞１例，ＳＭＡ血栓形成４例，ＳＭＶ血栓形成４例，非血管阻塞性肠梗塞（ＮＯＩ）２例。除２例ＮＯＩ未作肠切除术外，其余９例均作肠切除术，切除肠管６０～４５０ｃｍ，死亡３例。本病属急腹症危象，临床上常因对此病认识不足而导致延误诊断和未及时治疗，本组仅２例术前确诊。作者结合文献对本病的诊断和治疗进行了讨论。

The essay reported 11 cases of acute intestine tenue mesenteriale infarction , which were finally confirmed by operation,with date review. In the group included 1 case of acute mesenterial artery embolism, 4 cases of mesenterial thrombosis and 6 cases intestinal infarction caused by other factors rather then intestine tenus mesenterials blood vessel disease. 9 cases caused by embolism and thrombosis had part of small intestine tract resected and 3 cases died. The length of resected small intestine tract vary from 60 to 450 cm. The intestine tenue mesenterials infarction is a emergency abdomen disease . In the clinical, its characteristics are offen ignored, so that the mistakens in dignostic are usually made and me treatments are usually delayed. In the group only 2 cases were dignosted correctly before the operation.