股部外伤致肠系膜下动脉栓塞1例

A Case of Mesenteric Inferior Artery Resulting from the Femoral Trauma

目的:分析股部刺伤与肠系膜动脉栓塞的关系,为防止临床上今后发生类似误诊提供参考;方法:结合临床误诊病例,联系基础医学理论进行分析并行开腹探查;结果:开腹探查证实该例股部刺伤患者急性腹痛乃因肠系膜下动脉的分支———乙状结肠动脉栓塞、乙状结肠坏死所致;结论:股部外伤,尤其是严重刺伤导致大血管破裂并脂肪组织严重损伤时可能引起其他器官脂肪栓塞。

Objective： Analyzing the relation between the thigh incise wounds and mesenteric inferior artery is to prevent some similar clinical misdiagnosis for future reference. Method： Analyze and carry out exploratory laparotomy by combining a clinical misdiagnosis case and contacting foundation medical theories. Result： Exploratory laparotomy confirmed that the acute abdominal pain of the femoral trauma sufferer resulted from the mesenteric inferior artery branch - sigmoid artery embolism and sigmoid necrosis. Conclusion： When femoral trauma, especially incised wound, it makes great vessel split and adipose tissue injured seriously, this may cause the vessel fat embolism.