急性肠系膜上动脉栓塞预后的影响因素分析

目的:研究影响急性肠系膜上动脉栓塞相关因素与预后的关系。方法:选取我院2015年1月—2019年12月收治的患者85例,回顾性研究85例急性肠系膜上动脉栓塞患者的相关临床资料,分析相关因素及其与预后之间的关系。结果:本组85例中治愈46例,占54.1%,死亡36例,占45.9%。死亡组中病程>6 h、有腹膜炎、主干栓塞、未保留导管溶栓、未手术患者的比例高于治愈组,差异有统计学意义(P<0.05),两组的年龄、性别及有无合并症比例差异无统计学意义(P>0.05)。结论:急性肠系膜上动脉栓塞以老年患者为主,预后极差。对合并有心血管疾病的外科腹痛,"症状与体征不符"时,需要高度怀疑肠系膜血管病,高度重视腹部强化CT检查。介入溶栓及外科手术治疗有效。

Analysis of Prognostic Factors of Acute Superior Mesenteric Artery Embolism

Objective To study the relationship between related factors and prognosis of acute superior mesenteric artery embolism. Methods 85 patients with acute superior mesenteric artery embolism in our hospital from January 2015 to December 2019 were selected, and the clinical data of 85 patients with acute superior mesenteric artery embolism were retrospectively analyzed. Results 46 cases were cured, accounting for 54.1%, 36 cases died, accounting for 45.9%. In the death group, the proportion of patients with course of disease>6 h, peritonitis, main artery embolism, thrombolysis without catheter reservation, and no operation was higher than that in the cure group, and the difference was statistically significant (P<0.05). There was no significant difference in age, gender and the proportion of complications between the two groups (P>0.05). Conclusion Acute superior mesenteric artery embolism is mainly in elderly patients with poor prognosis. For surgical abdominal pain with cardiovascular disease, when the symptoms and signs are not consistent, we need to highly suspect mesenteric vascular disease and attach great importance to abdominal enhanced CT examination. Interventional thrombolysis and surgical treatment were effective.