摘要
目的探讨急性肠系膜血管缺血性疾病(AMI)的诊断及治疗方法。方法回顾性分析29例AMI患者的临床资料。结果 29例均以急性剧烈腹痛为首发症状,13例有腹膜刺激征,5例出现腹膜炎并休克,CT检查确诊20例。14例经全身抗凝、溶栓治愈;手术治疗13例,12例切除坏死肠管,治愈7例,死亡6例,因放弃治疗死亡2例。结论 AMI临床上缺少特异表现,超声、血管造影及多排螺旋CT肠系膜血管成像有助于AMI的早期诊断,根据患者情况早期抗凝溶栓或手术治疗可降低病死率。
Objective To explore the diagnosis and management of acute mesenteric ischemia（AMI）.Methods The clinical data of 29 patients with AMI treated in our hospital were analyzed retrospectively.Results All 29 cases presented with initial symptom of severe acute abdominal pain,13 cases had signs of peritoneal irritation and 5 cases had peritonitis combined with shock.In 20 cases,a definite diagnosis was made by CT.Fourteen cases were cured by anticoagulation/ thrombolytic therapy,13 patients underwent operatin（7 recovered,6 died）,and 2 cases,who refused treatment,died.Conclusions AMI lacks specific clinical manifestations.Ultrasound,Conventional angiography and mesenteric CT/CT angiography are effective examinations for the early diagnosis of AMI.According to the individual situation of patients,early application of anticoagulation/thrombolytic therapy or operation are essential to reduce the mortality of AMI.
出处
《中国普通外科杂志》
CAS
CSCD
北大核心
2011年第12期1368-1371,共4页
China Journal of General Surgery
