关键词: 急性肠系膜缺血性疾病, 肠系膜动脉栓塞, 肠系膜动脉血栓形成, 肠系膜静脉血栓形成, 非血管源性肠缺血, CT血管成像

Abstract: Modern strategies for the diagnosis and treatment of acute mesenteric ischemic disease        ZHANG Fu-xian. Department of Vascular Surgery, Beijing Shijitan Hospital,Capital Medical University, Beijing100038, China
Abstract    Acute mesenteric ischemia is one of the emergencies in vascular surgery. It's also one of the most dangerous surgical emergencies. From the caused by obstruction of a mesenteric artery or vein with sudden interruption of blood supply or reflux，there is that intestinal malnutrition and obstruction，and eventually loss of intestinal function and intestinal necrosis. The disease starts insidiously，progresses rapidly，does great harm and has serious consequences. CTA examination is currently recommended as the preferred diagnostic method. Early diagnosis，resuscitation，anticoagulation，restoration of blood supply to the mesentery，removal of inanimate bowel，maintenance of water，salt and electrolyte balance，and intravenous hypernutrition are important pillars for successful diagnosis and treatment of the disease.

Key words: acute mesenteric ischemia, mesenteric arterial embolus, mesenteric artery thrombosis, mesenteric venous thrombosis, non-occlusive mesenteric ischemia, CT angiography