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自发性孤立性肠系膜上动脉夹层的分型及保守治疗
引用本文:栾韶亮,郭伟,杜昕,贾鑫,左尚维,尹太,马晓辉.自发性孤立性肠系膜上动脉夹层的分型及保守治疗[J].军医进修学院学报,2011,32(4):310-311,344.
作者姓名:栾韶亮  郭伟  杜昕  贾鑫  左尚维  尹太  马晓辉
作者单位:解放军总医院,血管外科,北京,100853
摘    要:目的探讨自发性孤立性肠系膜上动脉夹层(Spontaneous Isolated Superior Mesenteric Artery Dissection,SISMAD)患者的分型及保守治疗情况。方法回顾性分析我院2007年6月-2009年6月间10例SISMAD患者资料,进行分型并对影像结果及临床表现进行随访。结果患者经保守治疗后腹部症状均缓解,其中3例未采取抗凝治疗。患者无突发腹痛症状,1例进食后腹部隐痛。SMA夹层未发展,假腔血栓均有不同程度消失,未见新发血栓,远端狭窄血管均扩张。结论无肠道缺血及腹膜炎者,均可采取保守治疗,近、中期效果较满意。

关 键 词:肠系膜动脉  动脉瘤  夹层  治疗

Types of spontaneous isolated superior mesenteric artery dissection and its conservative treatment
LUAN Shao-liang,GUO Wei,DU Xin,JIA Xin,ZUO Shang-wei,YIN Tai,MA Xiao-hui.Types of spontaneous isolated superior mesenteric artery dissection and its conservative treatment[J].Academic Journal of Pla Postgraduate Medical School,2011,32(4):310-311,344.
Authors:LUAN Shao-liang  GUO Wei  DU Xin  JIA Xin  ZUO Shang-wei  YIN Tai  MA Xiao-hui
Institution:LUAN Shao-liang,GUO Wei,DU Xin,JIA Xin,ZUO Shang-wei,YIN Tai,MA Xiao-hui Department of Vascular Surgery,Chinese PLA General Hospital,Beijing 100853,China
Abstract:Objective To study the types of spontaneous isolated superior mesenteric artery dissection(SISMAD) and its conservative treatment.Methods Clinical data about 10 patients with SISMAD admitted to our hospital in June 2007-June 2009 were retrospectively analyzed.SISMAD was typed.Imaging findings and clinical manifestations of the patients were recorded.The patients were followed up.Results Of the 10 patients with alleviation of their abdominal symptoms after conservative treatment,3 did not receive anticoagula...
Keywords:Mesenteric Arteries  Aneurysm  Dissecting  Therapy  
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