摘要
目的:探讨肠系膜上动脉栓塞的诊断、手术时机、手术方式的选择。方法:对15例急性肠系膜上动脉栓塞的临床资料进行总结分析。结果:15例患者,其中14例手术治疗,8例行肠系膜上动脉取栓,6例单纯肠坏死切除端端吻合术。存活7例,8例死亡,总病死率53%。结论:手术治疗仍是目前治疗本病的主要方法,早期诊断,及时手术探查是提高疗效的关键。
Objective：To investigate the superior mesenteric artery embolization diagnosis,surgery time,the operation mode of choice.Methods：Total 15 cases of acute superiormesenteric artery embolization clinical data were analyzed.Results：Among 15 cases of patients 4 cases surgical treatment,8 cases superiormesenteric artery thrombectomy,6 cases intestinal necrosis simple removal of end-to-end anastomosis.7 cases survival,8 deaths.Overall case-fatality 53% Conclusion：Operation is still themainmethods of treating this kind of disease at p resent,diagnose early and have exp loratory operation are the sticking point to heighten the curative effect.
关键词
肠系膜上动脉
栓塞
肠坏死
Superiormesenteric arterial
embolism
Intestinal necrosis
