快速诊治急性肠系膜上动脉闭塞的临床研究  

Rapid diagnosis and treatment of acute superior mesenteric artery occlusion

作　　者：赵学文[1] 陈伯棠[1] 陈子广 

机构地区：[1]肇庆市第一人民医院普外科526040

出　　处：《国际医药卫生导报》2017年第7期958-960,共3页International Medicine and Health Guidance News

基　　金：肇庆市科技创新指导类项目（2015-63-16）

摘　　要：目的探讨急性肠系膜动脉闭塞的早期诊断与治疗方式。方法对2008至2015年本院收治的急性肠系膜动脉闭塞患者进行回顾性分析。结果本组18例患者，急性肠系膜上动脉栓塞14例，动脉内血栓形成4例；其中5例行肠系膜上动脉血栓取出术，6例行动脉取栓加肠段切除术，4例在介入下行支架植入术，3例放弃手术自动出院；病死率为50．O％。结论早期诊断、早期解除肠系膜上动脉栓塞是提高治愈率的关键。Objective To investtgate the early alagnosls and treatment ol acute mesentenc arterial occlusion. Methods The patients with acute mesenteric artery occlusion treated at our hospital from 2008 to 2015 were retrospectively analyzed. Results Among the 18 patients, 14 had acute superior mesenteric artery embolism and 4 arterial thrombosis; 5 took superior mesenteric artery thrombectomy, 6 arterial embolectomy and bowel resection, 4 stent implantation through intervention, and 3 gave up the operation and automatically discharged. The case fatality rate was 50.0%. Conclusions The early diagnosis and early release of superior mesenteric artery embolism is the key to increase the cure rate.

关 键 词：急性肠系膜上动脉闭塞 早期诊断 治疗 

分 类 号：R445.1[医药卫生—影像医学与核医学] R657.2[医药卫生—诊断学]