创伤性非阻塞性肠系膜缺血1例及文献复习  

One case report and literature review of traumatic non-obstructive mesenteric ischemia

作　　者：李洪超 田俊英 蒋东坡 敬慧丹 LI Hongchao;TIAN Junying;JIANG Dongpo

机构地区：[1]陆军特色医学中心重症医学科,重庆400010 [2]重庆医科大学外国语学院医学英语教研室

出　　处：《临床急诊杂志》2021年第3期212-215,共4页Journal of Clinical Emergency

摘　　要：非阻塞性肠系膜缺血(non-occlusive mesenteric ischemia,NOMI)是一种由于肠壁缺血、炎症和梗死等情况引起的急性肠系膜缺血(acute mesenteric ischaemia,AMI),占急性肠系膜缺血的20%~30%,病死率超过70%[1-2]。因NOMI临床罕见,表现不典型,且常合并其他全身严重疾病,导致早期诊断困难,常因肠坏死而最终导致死亡。我们最近收治1例创伤后发生的NOMI,救治过程曲折,现报道如下。Non-obstructive mesenteric ischemia is a kind of acute mesenteric ischemia caused by intestinal wall ischemia, inflammation and infarction. It accounts for 20%-30% of acute mesenteric ischemia and has a fatality rate of more than 70%. Because NOMI is clinically rare, has atypical manifestations, and is often associated with other serious systemic diseases, it makes early diagnosis difficult, and often leads to death due to intestinal necrosis. Therefore, one case of post-traumatic NOMI that we received was reported because of the tortuous treatment process and the rare disease.

关 键 词：非阻塞性肠系膜缺血 休克 升压药 肠坏死 

分 类 号：R657.2[医药卫生—外科学]