急性肠系膜血管缺血性疾病的早期诊断  

Early diagnosis of vascular disease of acute mesenteric ischemia

作　　者：王敏[1] 

机构地区：[1]嘉兴学院医学院临床一系外科,314001

出　　处：《疑难病杂志》2002年第1期8-9,共2页Chinese Journal of Difficult and Complicated Cases

摘　　要：目的 提高对急性肠系膜血管缺血性疾病的早期诊断率。方法 对13例急性肠系膜血管缺血性疾病病例进行回顾性分析。结果 延迟诊断11例,占84.6％;术前误诊为其他外科疾病而行手术2例,占15.4％。结论 提高急性肠系膜血管缺血性疾病早期诊断率的关键在于:(1)了解各种病因及诱因,重视病史的询问;(2)熟悉各种类型的病理过程;(3)熟悉必要的实验室检查和特殊检查。Objective To improve the early diagnostic rate of vascular disease of acute mesenteric ischemia (AMI) .Methods Thirteen patients with AMI from 1970 to 2000 were reviewed retrospectively.Results Eleven patients were delayed in diagnosis, which holded 84.6% .Two patients were misdiagnosed and operated, which holded 15.4% .Conclusion The key to improve the early diagnostic rate of AMI includes three points. The first is to understand the various kinds of etiological factorsand inducements, to think highly of the demand of the history.The second is familiar with the various types of the pathological process. The last is familiar with the necessary laboratory and special examinations.

关 键 词：急性肠系膜血管缺血性疾病 计算机X线体层摄影 腹腔镜 血清乳酸盐 血管造影 

分 类 号：R657.2[医药卫生—外科学] R459.7[医药卫生—临床医学] R364.1