急性肠系膜缺血性疾病

Acute mesenteric ischemia

急性肠系膜缺血性疾病是一组以肠道不同部位血液供应中断为特征而导致缺血和继发性炎症的疾病。因其早期症状不典型、病程进展快且无特异性辅助检查,常因诊断困难不能及时治疗而导致病死率高、预后差。快速做出诊断并针对不同病因早期干预及多学科协作诊疗可明显改善预后。现就急性肠系膜缺血的病因、解剖及病理生理基础、临床表现、辅助检查、治疗进展等作一概述,为做到早发现和早治疗提供科学依据。

Acute mesenteric ischemia is a group of diseases characterized by disruption of blood supply to different parts of the intestine leading to ischemia and secondary inflammation.Due to its atypical early symptoms,rapid progression of disease and no specific auxiliary examination,it is often difficult to diagnose and lack of timely treatment,resulting in high mortality and poor prognosis.Rapid diagnosis,early intervention for different etiologies and multidisciplinary collaboration can significantly improve prognosis.This article summarizes the etiology,anatomical and pathophysiological basis,clinical manifestations,auxiliary examination,and treatment progress of acute mesenteric ischemia in order to improve the early diagnosis and timely treatment of this serious life-threatening disease.