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Open Access Article

International Journal of Surgical Research. 2023; 6: (3) ; 19-21 ; DOI: 10.12208/j.ijsr.20230029.

Diagnosis and treatment of superior mesenteric artery embolization intervention combinedwith surgical exploration
肠系膜上动脉栓塞介入联合手术探查的诊疗体会

作者: 刘红霞 *

青岛市黄岛区中医医院肛肠科 山东青岛

*通讯作者: 刘红霞,单位:青岛市黄岛区中医医院肛肠科 山东青岛;

发布时间: 2023-12-27 总浏览量: 711

摘要

急性肠系膜上动脉栓塞是临床少见的急腹症,但病情凶险,愈后差,致死率高,该病多发生于老年人。现报道的两例进修期间遇到的患者,以腹膜炎为主要表现的肠系膜上动脉栓塞致肠绞窄性坏死,经介入治疗+剖腹探查术,1例治愈,1例死亡。旨在提高对本病的认识,并结合文献对本病做回顾性总结。

关键词: 肠系膜上动脉血栓;肠坏死;临床诊断;治疗

Abstract

Acute superior mesenteric artery embolism is a rare clinical acute abdomen, but the disease is dangerous, poor, high mortality rate, the disease occurs in the elderly. In two reported cases encountered during the study, intestinal strangulation necrosis caused by superior mesenteric artery embolization with peritonitis, underwent interventional therapy + exploratory laparotomy, one case was cured and one patient died. It aims to improve the awareness of this disease and make a retrospective summary of this disease in combination with the literature.

Key words: Superior mesenteric artery thrombosis; Intestinal necrosis; Clinical diagnosis; Heal

参考文献 References

[1] 2020中国急性肠系膜缺血诊断与治疗专家共识[J] 中国急救医学2020,40(9)804-812.

[2] Carver T w, VoraRS, Taneja, A, Mesentericischemia [J]. Critcareclin, 2016,32:155-171.

[3] LemmaAN, Tolonen M, VikatmaaP, etal. Choice of First Emergency Room Affects the Fate of Patients With A cute Mesenteric Ischaemia: The Importance of Referral Patterns and Triage[J]. EurJVasc End ovasc Surg, 2019, 57(6):842-849.

[4] Van den Heijkant TC, Aerts BA, Teijink JA, et al. Challenges in diagnosingmesenteric ischemia [J] World J Gastroenterol, 2013,19,(9) 1338-1341.

[5] 冯健,屈振亮.急性肠系膜动脉栓塞的诊疗现状[J]. 中国中西医结合外科杂志,2018,24(1):125-127.

[6] Acosta S, Bjorck M. Acute thrombo-embolic occlusion of the superior mesenteric artery:a prospective study in a well defined population[J] Eur J Vasc Endovasc surg, 2003, 26(2):179-183.

[7] 周继明,方学奇.急性肠系膜上动脉栓塞的研究进展[J].中国内科杂志,2020,37(11)815-817.

[8] Tslsed JVT, Casamassima A, Kurihara H, et al ESTES guidelines: acute mesenteria [J]. European Journal of Trauma and Emeigency surgery, 2016,42(2):253-270.

[9] Nuzzo A, Maggiori L, Ronot M, et, al. Predictive factors of intestinal necrosis in acute mesenteric ischemia: prospective study feom an intestinal stroke center[J]. AM J Gastroenterol, 2017,112:597-605.

[10] 熊健,鲁传豪.肠系膜上动脉栓塞18例临床特点分析[J].临床急诊杂志,2020,21(10)844-847.

[11] 张艳华,张珂.阶梯式治疗方案治疗老年肠系膜上动脉血栓形成的临床研究[J],国际老年医学杂志,2020,41(5), 301 -304.

[12] 沈菁,严洁,常小荣等,从针刺十二经穴对健康人体表胃小肠电的影响探讨经穴与脏腑相关的特异性关系[J].中华中医药学刊,2008,8(11):49-51.

[13] 赵宏伟,张鹏等.急性肠系膜缺血性疾病36例治疗体会[J]现代生物医学进展,2022,22(3): 447-454.

引用本文

刘红霞, 肠系膜上动脉栓塞介入联合手术探查的诊疗体会[J]. 国际外科研究杂志, 2023; 6: (3) : 19-21.