急性肠系膜上动脉缺血的诊疗现状

Current status of diagnosis and treatment of acute superior mesenteric ischemia

急性肠系膜上动脉缺血是一种高死亡率的外科急症。尽管技术进步,死亡率在过去几十年中没有改善,常见原因包括来自心脏来源的栓子和肠系膜动脉斑块的血栓形成。对急性肠系膜上动脉缺血的及时诊断、液体复苏、全身抗凝和血运重建至关重要。血运重建方式包括开放式栓子切除术或肠系膜动脉旁路术、逆行开放肠系膜上动脉支架术的综合方法。应根据具体情况选择个体化治疗方式。

Acute superior mesenteric artery ischemia is a surgical emergency with high mortality,and despite technological advances,the mortality has not been improved in the past decades.Common causes include thrombosis from heart-derived emboli and mesenteric artery plaques.Timely diagnosis,fluid resuscitation,systemic anticoagulation and revascularization of acute superior mesenteric artery ischemia are essential.Revascularization methods include open embolization or mesenteric artery bypass and retrograde open superior mesenteric artery stenting.Individualized treatment should be selected according to the specific situation.