急性肠系膜上动脉血管闭塞的误诊原因及对策(附九例报告)

The causes of misdiagnosis of acute superior mesenteric artery embolism and the strategy: An analysis of 9 cases

目的 探讨急性肠系膜上动脉血管闭塞的误诊原因。方法 对 1987～ 1999年收治的9例患者进行回顾性分析。结果 就诊时明确诊断 2例 ,术前明确诊断 5例 ,误诊 4例。抢救成功 3例 ,死亡 6例。结论 误诊原因可概括为 :①本病早期缺乏特异性症状 ;②首诊医生对本病缺乏足够的认识 ;③缺乏既方便又准确的诊断手段 ;④手术时机把握不准。

Objective To explore the causes of misdiagnosis of acute superior mesenteric artery embolism.Method Nine cases of acute superior mesenteric artery embolism from 1987 to 1999 were analyzed retrospectively.Result Two cases were diagnosed at present to the clinic, 5 cases were diagnosed before operation, and 4 cases were misdiagnosed. Three cases were alive and 6 cases died with the mortality being 6.3% .Conclusions The causes of misdiagnosis of acute superior mesenteric artery embolism are as follows: ①Acute superior mesenteric artery is lack of specific symptoms at early stage. ②The doctors are lack of enough recognition to this disease. ③There are no convenient and accurate diagnostic methods for this disease. ④The time for operation is mot appropriate.