急性肠系膜缺血性疾病发生肠坏死预测因素研究进展

Research progress on predictive factors of intestinal necrosis in acute mesenteric ischemic disease

急性肠系膜缺血性疾病(AMI)是临床上一种十分危急且病死率极高的腹部急症。尽管对该病的认识和诊断技术不断提高,然而其病死率仍居高不下,这主要归因于AMI发生肠坏死而未及时行手术切除,最终导致患者死亡。因此,早期识别和预测AMI发生肠坏死并积极采取有效的干预措施,是降低病死率的关键。文章就目前国内外关于AMI发生肠坏死预测因素的相关研究进行综述,为及时采取手术干预提供参考依据。

Acute mesenteric ischemic disease(AMI) is a very critical and high mortality abdominal emergency in clinic. Although the understanding and diagnostic techniques of this disease are constantly improving, the mortality rate is still high, which is mainly due to intestinal necrosis in AMI and untimely surgical resection, which ultimately leads to death. Therefore, early identification and prediction of intestinal necrosis in AMI and active intervention measures are the key to reduce the mortality. This article reviews the current domestic and foreign studies on the predictive factors of intestinal necrosis in AMI, so as to provide a reference for timely surgical intervention.