急性肠系膜动脉缺血性疾病28例诊治体会

Diagnosis and treatment of acute mesenteric arterial ischemia: A report of 28 cases

目的总结急性肠系膜动脉缺血性疾病的诊治经验。方法回顾性分析首都医科大学附属北京安贞医院血管外科2004—2013年诊治的28例急性肠系膜动脉缺血病人的临床资料,分析药物治疗、手术治疗的临床疗效。结果 28例中,有11例行肠系膜上动脉切开取栓术(其中6例行肠管切除术),其余17例均行保守治疗。死亡2例(7.1%)。结论急性肠系膜缺血性疾病须及时诊治,手术及药物治疗是挽救病人生命的重要手段。

Objective To conclude the diagnosis and treatment experience for acute mesenteric arterial ischemia disease. Methods The clinical data of 28 patients suffered from acute mesenteric ischemia admitted from 2004 to 2013 in Department of Vascular Surgery, Beijing Anzhen Hospital of Capital Medical College were analyzed retrospectively. The data include medication and surgery. Results Among the total 28 patients，11 patients underwent thrombolectomy by Fogarty catheter including 6 patients underwent bowel resection，and the other 17 patients received conservative medication therapy. Two patients（7.1%）died. Conclusion It is urgent to diagnose and treat the acute superior mesenteric ischemic diseases. The medication and surgery are important methods to save patients’ live.