急性肠系膜上动脉栓塞早期诊断及导管溶栓治疗临床效果观察  

Early diagnosis of acute superior mesenteric artery embolism and clinical effect of catheter-directed thrombolysis

作　　者：李想[1] 吴华平[1] 张利[1] 吕开平 宋欢欢 LI Xiang;WU Huaping;ZHANG Li;LV Kaiping;SONG Huanhuan(Department of Cardiovascular Surgery,Dazhou Central Hospital in Sichuan Province,Dazhou635000,China)

机构地区：[1]四川省达州市中心医院心脏血管外科,四川达州635000

出　　处：《中国现代医生》2020年第7期81-83,共3页China Modern Doctor

摘　　要：目的分析和探讨急性肠系膜上动脉栓塞早期诊断及导管溶栓治疗临床效果。方法2017年1月~2019年1月在我院接受治疗的急性肠系膜上动脉栓塞患者中,选取11例进行回顾性分析,所有患者均采用导管溶栓治疗,观察其治疗效果,并分析急性肠系膜上动脉栓塞早期诊断的临床意义。结果11例采用导管溶栓治疗的患者中,9例溶栓成功,后续开腹取栓2例,所有患者术后恢复情况良好。结论急性肠系膜上动脉栓塞患者采用导管溶栓治疗临床效果显著,能够有效减轻血栓负荷,挽救患者生命,同时,对于急性肠系膜上动脉栓塞的早期诊断具有非常高的临床价值,大大降低致死率,适合在临床进行推广和普及。Objective To analyze and discuss the early diagnosis of acute superior mesenteric artery embolism(SMAE)and the clinical effect of catheter-directed thrombolysis(CDT).Methods 11 patients with acute SAME treated in our hospital from January 2017 to January 2019 were selected for retrospective analysis.All patients were treated with CDT to observe the therapeutic effect and analyze the clinical significance of early diagnosis of acute SMAE.Results 9 of 11 cases were successfully performed with CDT,and 2 cases were further performed with open surgery.All patients recovered well.Conclusion CDT is effective in the treatment of acute SMAE,which can effectively reduce the burden of thrombus and save the patient's life.At the same time,it has a very high clinical value for the early diagnosis of SMAE,greatly reduces the fatality rate,and is suitable for clinical promotion and popularization.

关 键 词：急性肠系膜上动脉栓塞 早期诊断 导管溶栓 临床效果 

分 类 号：R657.2[医药卫生—外科学]