74例急性肠系膜血管缺血患者临床特征及预后危险因素分析  

Analysis of Clinical Features and Prognostic Risk Factors in 74 Patients with Acute Mesenteric Vascular Ischemia

作　　者：张力 张旭 崔强 高原 胡凯锋 ZHANG Li;ZHANG Xu;CUI Qiang;GAO Yuan;HU Kai-feng(Department of General Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi,710089,China;Department of Vascular Surgery,The First Affiliated Hospital of Xi'an Jiaotong University,Xi'an,Shaanxi,710089,China)

机构地区：[1]西安交通大学第一附属医院普通外科,陕西西安710089 [2]西安交通大学第一附属医院血管外科,陕西西安710089

出　　处：《现代生物医学进展》2024年第23期4483-4486,共4页Progress in Modern Biomedicine

基　　金：陕西省自然科学基础研究计划项目(2021JM-273)。

摘　　要：目的:探讨74例急性肠系膜血管缺血患者临床特征、预后危险因素、治疗及预后结果。方法:回顾性选择2020.1-预后2023.12月来我院诊治的74急性肠系膜血管缺血患者,收集并分析患者一般资料,分析急性肠系膜血管缺血患者预后的危险因素。结果:74例急性肠系膜血管缺血患者的初步误诊率55.41%,死亡率为28.38%。年龄、凝血酶原时间异常、白细胞升高、乳酸脱氢酶增高等是急性肠系膜血管缺血预后的影响因素(P<0.05)。其中,年龄增加、白细胞升高、乳酸脱氢酶增高是影响急性肠系膜血管缺血预后的危险因素(P<0.05)。结论:急性肠系膜血管缺血误诊率、死亡率均较高,缺乏特异性临床表现,当出现腹部体征、症状不相符,且存在高危因素时,需考虑本病,及时行腹部CT检查。Objective:To investigate the clinical characteristics,prognostic risk factors,treatment,and prognosis outcomes of 74 patients with acute mesenteric ischemia.Methods:Retrospective selection of 74 patients with acute mesenteric ischemia treated in our hospital from January 2020 to December 2023,collecting and analyzing their general information,and analyzing the risk factors for the prognosis of patients with acute mesenteric ischemia.Result:The preliminary misdiagnosis rate of 74 patients with acute mesenteric ischemia was 55.41%,and the mortality rate was 28.38%.Age,abnormal prothrombin time,elevated white blood cells,and elevated lactate dehydrogenase are factors that affect the prognosis of acute mesenteric ischemia(P<0.05).Among them,increasing age,elevated white blood cells,and elevated lactate dehydrogenase are risk factors affecting the prognosis of acute mesenteric ischemia(P<0.05).Conclusion:The misdiagnosis rate and mortality rate of acute mesenteric ischemia are relatively high,and there is a lack of specific clinical manifestations.When abdominal signs and symptoms do not match,and there are high-risk factors,this disease should be considered and abdominal CT examination should be performed in a timely manner.

关 键 词：急性肠系膜血管缺血 临床特征 危险因素 

分 类 号：R572.3[医药卫生—消化系统]