急性肠系膜血管闭塞性疾病9例临床诊治分析

Diagnosis and treatment of acute mesenteric vessel occlusion (9 cases)

目的探讨急性肠系膜血管闭塞性疾病的临床特点和治疗。方法回顾性分析该院2003年6月～2008年12月诊治的9例急性肠系膜血管闭塞性疾病患者的临床资料。结果9例患者中,肠系膜静脉血栓形成7例,肠系膜动脉栓塞1例,肠系膜动脉血栓形成1例。手术治疗8例,4例患者痊愈出院,2例转院后治愈,共3例死亡。结论肠系膜缺血性肠梗阻早期症状不典型,确诊困难较大,容易延误诊断,且病情重,进展快,死亡率高,预后差。早期诊断是关键,早期诊断和治疗,可提高治愈率,改善预后。

[ Objective ] To investigate the early diagnosis and treatment of the acute mesenteric vessel occlusion （AMVO）. [Methods] To analyze, retrospectively, the 9 cases of acute mesenteric vessel occlusion disease treated in our hospital from June 2003 to December 2008. [Results] In 9 cases,7 cases were mesenteric venous thrombosis （MVT）,one case was mesenteric artery embolization （MAE）, one case was mesenteric artery thrombosis （MAT）.6 of 8 cases operated were recovered, the others died. [ Conclusions ] Acute mesenteric vessel occlusion is often misdiagnosed, or delayed, by its atypical features in early stage. And AMVO deteriorate quickly, with the high mortality and dismal prognosis. Early diagnosis was the key to improve the therapeutic effects of AMVO.