手术治疗缺血性肠坏死22例体会  

Surgical intervention of intestinal necrosis for acute intestinal ischemia disease

作　　者：李畅[1] 丁大勇[1] 李永超[1] 舒振波[1] 孙立波[1] 

机构地区：[1]吉林大学中日联谊医院胃肠外科,长春130033

出　　处：《中华普外科手术学杂志（电子版）》2011年第2期41-42,45,共3页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨急性缺血性肠疾病(AMI)出现肠坏死的手术时机。方法回顾性分析22例AMI致肠坏死病例,分析辅助检查在提示肠坏死中的价值,对比动脉血栓/栓塞组和静脉血栓组在实验室和影像学检查方面的差异。结果血常规WBC异常升高、超声或CT提示肠壁增厚和腹腔积液提示肠坏死已经发生。静脉血栓肠壁增厚明显高于动脉血栓/栓塞组。结论血常规WBC大于20×109/L,超声/CT提示肠壁增厚及腹腔积液,提示已经发生肠坏死,应积极手术治疗。Objective To investigate the indication of surgical intervention for acute mesenteric ischemia disease（AMI）.Methods Altogether 22 cases of intestine necrosis for AMI were retrospectively reviewed.Assistant examination results were compared between arterial thrombosis（embolism） and venous thrombosis groups.Results Higer serum WBC（20×109/L）,bowel wall thickening,and ascites indicated intestine necrosis.The bowel wall thickening was more common in the venous thrombosis group than in the arterial thrombosis（embolism） group.Conclusions Surgical intervention should be considered if the serum WBC is more than 20×109/L,or either the increased intestine wall thickness or ascites is found.

关 键 词：肠疾病 缺血 血栓切除术 消化系统外科手术 肠坏死 

分 类 号：R656.7[医药卫生—外科学]