论文部分内容阅读
目的探讨急性肠系膜缺血(acute mesenteric ischemia,AMI)的诊断和治疗方法。方法AMI病人102例,所有病人诊断明确后均行抗凝、扩管、溶栓等药物治疗,单纯保守治疗完全缓解者17例,其余85例病人在保守治疗48小时内效果不明显,63例转为腔内治疗,58例缓解,7例未缓解,5例转为手术治疗,2例放弃治疗;另22例直接转为开放手术治疗。评估102例病人药物治疗、腔内治疗、开放手术治疗的效果。结果 102例病人中,症状完全缓解92例,发生慢性肠功能不全5例,死亡3例,失访2例。结论 AMI病情凶险,提高对疾病的认识,早期诊断,尽早重建小肠血运是提高疗效的关键。腔内治疗是目前首选的治疗方案。
Objective To investigate the diagnosis and treatment of acute mesenteric ischemia (AMI). Methods A total of 102 patients with acute myocardial infarction (AMI) were enrolled in this study. Totally 17 cases were treated with anticoagulation, expanded tube and thrombolysis after conservative diagnosis. All the 85 cases were treated conservatively for 48 hours without obvious effect. 63 cases Into the endovascular treatment, 58 cases of remission, 7 cases did not alleviate, 5 cases converted to surgery, 2 cases to give up treatment; the other 22 cases were directly converted to open surgery. Evaluation of 102 patients with drug treatment, endovascular treatment, open surgery treatment effect. Results Among the 102 patients, 92 cases were completely relieved of symptoms, 5 cases were chronic intestinal insufficiency, 3 died and 2 cases were lost to follow-up. Conclusion AMI is dangerous and improve the understanding of the disease, early diagnosis, early reconstruction of small intestine blood supply is the key to improve the efficacy. Endovascular treatment is currently the preferred treatment option.