急性肠系膜上动脉缺血35例治疗体会  

Therapeutic Experiences of 35Patients with Acute Superior Mesenteric Artery Ischemia

作　　者：孙岩[1] 孔祥骞[1] 袁海[1] 韩宗霖[1] 董典宁[1] 吴学君[1] 金星[1] 

机构地区：[1]山东大学附属省立医院血管外科,济南250021

出　　处：《解放军医药杂志》2013年第6期36-38,共3页Medical & Pharmaceutical Journal of Chinese People’s Liberation Army

基　　金：国家自然科学基金青年科学基金资助项目(81000186);山东大学研究生自主创新基金资助(yzc11081/21300071613081)

摘　　要：目的探讨急性肠系膜上动脉缺血的诊断和外科治疗。方法回顾性分析2006年1月—2012年10月收治的35例急性肠系膜上动脉缺血的临床资料。结果除2例入院后经保守治疗症状缓解外,33例均行急诊手术或介入治疗。35例住院时间为(14.00±4.86)d,均顺利出院,随访2～28个月,未见复发。结论急性肠系膜上动脉缺血早期诊断是关键,一旦确诊,应采取积极外科干预治疗。Objective To explore the diagnosis and surgical treatment of acute superior mesenteric artery ische- mia. Methods Clinical data of 35 patients with acute superior mesenteric artery isehemia during January 2006 and Octo- ber 2012 was retrospectively analyzed. Results Among the 35 patients, 33 patients underwent emergency operations or interventional therapy, and another 2 patients＇ symptoms released with conservative treatment. The average length of hos- pital stay was 14.00 ± 4.86 days ; all the patients were discharged successfully. There was no recurrence in all patients in 2-28 months follow-up. Conclusion Early diagnosis is the key to treat acute mesenteric artery ischemia, and surgical treatment should be recommended actively when the diagnosis can be confirmed.

关 键 词：肠系膜上动脉 肠系膜血管闭塞 血栓切除术 导管插入术 外周 

分 类 号：R656.7[医药卫生—外科学]