肠系膜血管缺血外科诊治进展
肠系膜血管闭塞;肠系膜血管缺血;外科,王晓东,孙巍,通讯作者:,Progressinthediagnosisandtreatmentofacutemesentericischemia,Xiao-DongWang,WeiSun,Correspondenceto:
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王晓东, 孙巍, 沈阳市第四人民医院普外科 辽宁省沈阳市 110031
通讯作者: 王晓东, 110031, 辽宁省沈阳市皇姑区黄河南大街20号, 沈阳市第四人民医院普外科.
xiaodong_wang2001@yahoo.com
电话: 024-86208379
收稿日期: 2007-03-26 接受日期: 2007-04-13
Progress in the diagnosis and treatment of acute mesenteric ischemia
Xiao-Dong Wang, Wei Sun
Xiao-Dong Wang, Wei Sun,Department of General Surgery, Shenyang Fourth People’s Hospital, Shenyang 110031, Liaoning Province, China
Correspondence to: Xiao-Dong Wang,Department of General Surgery, Shenyang Fourth People’s Hospital, 20 Huanghe North Street, Huanggu District, Shenyang 110031, Liaoning Province, China. xiaodong_wang2001@yahoo.com
Received:2007-03-26 Accepted:2007-04-13
Abstract
Acute mesenteric ischemia (AMI) is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and prevent bowel necrosis and patient’s death. The underlying cause of AMI is varied, and the prognosis depends on the precise pathologic findings. Despite the progress in understanding the pathogenesis of mesenteric ischemia and the development of modern treatment modalities, AMI remains a diagnostic challenge for clinicians, and the delay in diagnosis contributes to the continued high mortality rate. Early diagnosis and prompt effective treatment are essential to improve the clinical outcome.
Key Words: Mesenteric occlusion; Acute mesenteric ischemia; Surgery
Wang XD, Sun W. Progress in the diagnosis and treatment of acute mesenteric ischemia. Shijie Huaren Xiaohua Zazhi 2007;15(12):1400-1405
摘要
肠系膜血管缺血(acute mesenteric ischemia, AMI)是潜在致命的血管性急腹症. 死亡率很高, 且发病率不断上升. 形成AMI的原因是多样的, 临床经过和预后取决于基础的病理状态. 尽管对肠系膜缺血病理生理研究的深入和现代治疗方法上的改进, 存活率没有显著的提高. AMI仍然存在诊断上的挑战, 延误诊断会提高死亡率. 临床表现在大多数病例没有特征性. 当肠缺血迅速的发展为不可逆的肠坏死, 随后出现严重的代谢紊乱, 最后发展成为多器官功能不全以致死亡. 及时地诊断和处理, 快速有效地恢复肠系膜血流是改善预后的关键.
关键词: 肠系膜血管闭塞; 肠系膜血管缺血; 外科
王晓东, 孙巍 ......
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