急性缺血性肠坏死的早期诊治分析  

Early Diagnosis and Treatment of Acute Ischemic Intestinal Necrosis

作　　者：王桂珍[1] 袁海[2] 

机构地区：[1]山东大学附属省立医院外科,济南250021 [2]山东大学附属省立医院血管外科

出　　处：《解放军医药杂志》2013年第12期75-77,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项目资助(81000186)

摘　　要：目的探讨急性缺血性肠坏死(AIIN)患者的早期临床特点和治疗方法。方法回顾性分析2008年1月—2011年12月山东省立医院收治的10例AIIN的临床资料。结果根据临床表现及血常规、B超、多排螺旋CT检查(MDCT)确诊后应用药物、腔内和手术等方法进行治疗,3例死亡,1例术后发生短肠综合征,其余均痊愈出院。结论根据患者的MDCT表现同时结合心率、体温、血象等征象,尽早诊断并采取相应腔内和手术治疗是降低AIIN患者病死率的关键。Objective To explore clinical features and treatment of patients with acute ischemic intestinal necrosis（ AIIN） during prophase. Methods Clinical data of 10 inpatients with AIIN during January 2008 and December 2012 was retrospectively analyzed. Results The 10 patients received medicamentous,intracavitary and surgical treatments after being confirmed as having AIIN by clinical manifestations and routine blood text,examinations of type-B ultrasonic and multidetector CT（ MDCT）. Of the 10 patients,3 patients died,1 patient suffered postoperative short bowel syndrome,and the others were cured and discharged. Conclusion The key to reduce the fatality rate of patients with AIIN is early diagnosis,appropriate surgical and intracavitary therapies in combination of the heart rate,body temperature,haemogram and the MDCT performance.

关 键 词：腹部 肠系膜 缺血 坏死 外科手术 

分 类 号：R654.4[医药卫生—外科学]