重视和规范MDT诊疗模式在急性肠系膜缺血性疾病中的应用  

Emphasize and standardize the implement of the multidisciplinary team model in the diagnosis and treatment of acute mesenteric ischemic disease

作　　者：董晓宇 高云鹤[1] 乔治[1] Dong Xiaoyu;Gao Yunhe;Qiao Zhi(Senior Department of General Surgery,the First Medical Center of Chinese PLA General Hospial,Beijing 100853,China;Chinese PLA Medical School,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心普通外科医学部,北京100853 [2]解放军医学院,北京100853

出　　处：《国际外科学杂志》2023年第12期793-797,共5页International Journal of Surgery

基　　金：2022年度军队装备综合研究计划课题(LB2022B020200-QZ)。

摘　　要：急性肠系膜缺血性疾病(AMI)是一种危重的外科急腹症。由于其初始症状的隐匿性及不典型性,一旦延误诊断,AMI患者的致死率则会明显增高。AMI的诊治流程往往涉及到多个学科及科室的密切协作沟通,本团队深刻体会多学科综合治疗(MDT)诊疗模式在AMI的规范应用,能够显著提高疾病诊断的效率,延缓疾病进展,及时处理疾病并改善患者的不良预后,降低患者的死亡率。因此,笔者结合所在中心在治疗AMI患者时实施MDT诊疗模式的经验,阐述在AMI中规范应用MDT诊疗模式的关键步骤及质量控制要点,以期为业内同行提供理论基础和经验参考。Acute mesenteric ischemic disease(AMI)is a critical surgical emergency.Due to its insidious and atypical initial symptoms,a delayed diagnosis significantly increases the mortality rate of AMI patients.The diagnosis and treatment process of AMI often involve close collaboration and communication among multiple disciplines and departments.Our team deeply recognizes the importance of a multidisciplinary team(MDT)model in the standardized management of the AMI disease.It can significantly improve the efficiency of disease diagnosis,delay disease progression,provide timely treatment,and improve the prognosis of patients,thereby reducing the overall mortality rate.Therefore,combining our center′s experience in treating AMI patients with the implementation of the MDT model,we elaborated on the key steps and quality control measures for the standardized application of the MDT model in AMI disease,with the aim of providing a theoretical foundation and experiential reference for colleagues and professionals.

关 键 词：肠系膜 医师诊疗模式 质量控制 急性肠系膜缺血性疾病 多学科综合治疗 临床分型 

分 类 号：R572.3[医药卫生—消化系统]