2例急性肠系膜上动脉栓塞临床诊治分析并文献复习

The Discussion of Clinical Diagnosis and Treatment in Superior Mesenteric Arterial Embolism and Review of Literature

目的探讨提高急性肠系膜上动脉栓塞(SMAE)的诊治方法。方法对2例SMAE的临床资料进行总结并结合文献中有关本病的报道进行分析。结果2例全部经手术治疗。1例术前诊断为肠系膜上动脉栓塞,1例术前误诊为出血性小肠炎,术中均证实为肠系膜上动脉栓塞。1例生存至今,1例术后第2天死亡。结论本病早期诊断、及时采取介入取栓或手术治疗,是提高本病治愈率的关键。

Objective Discuss the diagnosis and treatment of superior mesenteric arterial embolism. Methods Summarize and analysis the clinical data of two SMAE cases combining with the SAME report in literature. Results All of the two cases were taken operation, one of the case were diagnosed SAME before operation, the other case diagnosed bleeding enteritis, and all of the cases were diagnosed SAME in operation. One case is living now, but the other case have been dead in second day after operation. Concultion We considered it will promote the cure rate of SAME if we can diagnose early and take interventional thrombectomy or operation promptly.