急性肠系膜上动脉梗塞的临床特点分析及早期诊断探讨

【目的】探讨急性肠系膜上动脉梗塞的临床特征、早期表现及诊断。【方法】回顾分析2001年1月至2007年8月本院收治的11例急性肠系膜上动脉梗塞的临床资料。【结果】本病早期特征为腹部体征与其腹痛程度不符,早期无发热,血白细胞计数和血尿淀粉酶多正常。血象、腹部平片表现随病情进展而动态变化。但后期病情迅速恶化且病变不可逆转。【结论】病程早期极容易误诊、漏诊;晚期常致广泛肠坏死甚至最终死亡。关注高危人群,动态观察血象、腹部平片对早期诊断有一定帮助,血管造影是术前早期诊断的有效办法。

Study of Clinical Characteristics and Diagnosis of Acute Superior Mesenteric Artery Infarction in the Early Stage

Objective] To study the clinical characteristics and diagnosis of acute superior mesenteric artery infarction in the early stage.Methods]The clinical characteristics of 11 cases of hospitalized patients with acute superior mesenteric artery infarction in our hospital from Jan.2001 to Aug.2007 were retrospectively analyzed.Results]The clinical feature in the early stage included that abdomen pain was severe but it was not consistent with abdomen physical signs.The body temperature,blood leucocyte count and amylase(serum and urine)were normal.The hemogram and abdominal X-rays sign dynamically changed only following the disease progression.Conclusion]Acute superior mesenteric artery infarction is extremely easy to be misdiagnosed or missed diagnosed in the early stage,and may lead to extensive intestinal necrosis or death in the advanced stage.Paying attention to high-risk group and dynamically observing hemogram and abdominal X-rays may be helpful for the diagnosis at the early stage before surgery.