中国实用外科杂志

中国实用外科杂志 ›› 2009, Vol. 29 ›› Issue (11): 903-906.

• 专题笔谈 • 上一篇    下一篇

急性肠系膜血管缺血性疾病病因及处理

辛世杰，王 雷   

  1. 中国医科大学附属第一医院普通外科教研室 血管甲状腺外科，辽宁沈阳110001
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-11-09 发布日期:2009-11-09

  • Received:1900-01-01 Revised:1900-01-01 Online:2009-11-09 Published:2009-11-09

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摘要：

急性肠系膜血管缺血性疾病是较为少见的外科急重症，其病因多样，包括肠系膜动脉的栓塞和血栓形成，肠系膜静脉血栓形成，非阻塞性肠系膜缺血，以及其他少见病因。病情发展最终导致大面积肠坏死，病死率极高。虽然目前的诊断技术和医疗条件发展迅速，但仍有大量病人得不到准确的早期诊断和及时有效的处理。临床医生应熟悉该病的危险因素、病理过程、临床特点及治疗方法，保持高度警惕，才能真正改善预后。

关键词: 急性肠系膜缺血, 栓塞, 血栓形成

Abstract:

Acute mesenteric ischemia: the diagnostic challenge and treatment options XIN Shi-jie, WANG Lei. Division of Vascular and Thyroid Surgery, Department of General Surgery, the First Hospital of China Medical University, Shenyang 110001, China Corresponding author: XIN Shi-jie, E-mail: xinshijie1963@yahoo.com.cn Abstract Acute mesenteric ischemia is a life-threatening emergency with multiple etiology, including acute mesenteric arterial embolus and thrombus, mesenteric venous thrombus, nonocclusive mesenteric ischemia, and other rare conditions. Massive bowel necrosis is the endpoint of pathological process, associated with a high mortality. Despite the improvement of diagnostic technique and medical condition, there are still many patients could not accept early diagnosis and prompt effective treatment. Strong clinical suspicion based on a better understanding of risk factor, pathology, clinical characteristic and treatment options will improve the prognosis.

Key words: acute mesenteric ischemia, embolism, thrombosis