急性肠系膜上动脉栓塞诊疗体会  

Diagnosis and Treatment of Acute Superior Mesenteric Artery Embolism

作　　者：崔卫东[1] 郭魁元[1] 崔晓兵[1] 

机构地区：[1]郑州大学第五附属医院普外一科,郑州市450052

出　　处：《医药论坛杂志》2009年第3期30-31,共2页Journal of Medical Forum

摘　　要：目的探讨肠系膜上动脉栓塞的诊断、手术时机、手术方式的选择。方法对18例急性肠系膜上动脉栓塞的临床资料进行总结分析。结果18例患者其中17例手术治疗,8例行肠系膜上动脉取栓,9例单纯肠坏死切除端端吻合术。存活10例,8例死亡。结论通过对本组病例的总结分析提高了对本病的认识,早诊断及时地手术探查是挽救患者生命的关键。采用相适应的手术方式可以尽量多的保留肠管提高患者的生活质量。Objective To investigate the superior mesenteric artery embolization diagnosis, surgery time, the operation mode of choice. Methods Total 15 cases of acute superior mesenteric artery embolization clinical data were analyzed. Results Among 18cases of patients 17 cases surgical treatment, 8 cases superior mesenteric artery thrombectomy, 9 cases intestinal necrosis simple removal of end - to - end anastomosis. 10 cases survival, 8 deaths. Conclusion Through this group of cases analyzed to improve the awareness of the disease, early diagnosis and timely surgical exploration is critical to save the life of patients. Suited to the use of surgery can be as much as possible to retain the intestine to improve the patient＇s quality of life.

关 键 词：肠系膜上动脉 栓塞 效果 

分 类 号：R657.2[医药卫生—外科学]