肠系膜血管缺血外科诊治进展  

Progress in the diagnosis and treatment of acute mesenteric ischemia

作　　者：王晓东[1] 孙巍[1] 

机构地区：[1]沈阳市第四人民医院普外科,辽宁省沈阳市110031

出　　处：《世界华人消化杂志》2007年第12期1400-1405,共6页World Chinese Journal of Digestology

摘　　要：肠系膜血管缺血(acute mesenteric ischemia,AMI)是潜在致命的血管性急腹症.死亡率很高,且发病率不断上升.形成AMI的原因是多样的,临床经过和预后取决于基础的病理状态.尽管对肠系膜缺血病理生理研究的深入和现代治疗方法上的改进,存活率没有显著的提高.AMI仍然存在诊断上的挑战,延误诊断会提高死亡率.临床表现在大多数病例没有特征性.当肠缺血迅速的发展为不可逆的肠坏死,随后出现严重的代谢紊乱,最后发展成为多器官功能不全以致死亡.及时地诊断和处理,快速有效地恢复肠系膜血流是改善预后的关键.Acute mesenteric ischernia （AMI） is a life-threat- ening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and prevent bowel necro- sis and patient＇s death. The underlying cause of AMI is varied, and the prognosis depends on the precise pathologic findings. Despite the progress in understanding the pa ischemia and the development of modem treat- ment modalities, AMI remains a diagnostic chal- lenge for clinicians, and the delay in diagnosis contributes to the continued high mortality rate. Early diagnosis and prompt effective treatment are essential to improve the clinical outcome.

关 键 词：肠系膜血管闭塞 肠系膜血管缺血 外科 

分 类 号：R657.2[医药卫生—外科学]