急性肠系膜动脉闭塞的手术探查和术式选择分析

Operation for acute mesenteric arterial occlusion

目的探讨急性肠系膜动脉闭塞的手术探查和术式选择分析。方法对经我院治疗的12例急性肠系膜动脉闭塞病例的临床资料进行回顾性分析。结果12例患者成功治愈9例，死亡3例，1例死于感染性休克及多器官功能衰竭，1例死于短肠综合征，1例死于大面积心肌梗死。病死率为25％。结论及时正确的手术探查和合理的术式选择是治疗急性肠系膜动脉闭塞手术成败的关键。

Objective To discuss our experience of operation therapy for acute mesenteric arterial occlusion. Methods Twelve cases with acute mesenteric arterial occlusion between January of 2000 and December of 2007 was retrospectively analyzed. Results Among all the cases, 9 were cured and 3 cases died with a mortality of 25%. Causes of death died were septic shock, multiple organ failure, short bowel syndrome, and myocardial infarction. Conclusion Timely and reasonable operation play a key role in treatment of acute mesenteric arterial occlusion.