| 急性非闭塞性肠系膜血管缺血的诊断和介入治疗 |
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| 引用本文： | 李选,吴卫平. 急性非闭塞性肠系膜血管缺血的诊断和介入治疗[J]. 介入放射学杂志, 2006, 15(4): 209-212 |
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| 作者姓名： | 李选 吴卫平 |
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| 作者单位： | 100083,北京大学第三医院放射科;民航总医院放射科 |
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| 摘 要： | 目的探讨选择性肠系膜上动脉造影,经肠系膜上动脉持续灌注罂粟碱在诊断和治疗急性非闭塞性肠系膜血管缺血(NOMI)的价值。方法回顾分析从1999年8月到2005年3月经选择性肠系膜上动脉造影确诊,并行介入诊疗的18例NOMI。明确NOMI诊断后即行经导管肠系膜上动脉灌注罂粟碱治疗。结果本组18例NOMI中15例患者治愈;3例有效,介入治疗后腹痛减轻,但仍有局限性的腹膜刺激征,转外科行肠切除治愈;1例10d后死于严重肺部感染导致的呼吸衰竭。结论选择性肠系膜上动脉造影持续经导管肠系膜上动脉灌注罂粟碱是NOMI有效的诊断和治疗方法。
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| 关 键 词： | 缺血性肠病 动脉 肠系膜上动脉 介入治疗 |
| 文章编号： | 1008-794X（2006）04-0209-04 |
| 收稿时间： | 2005-12-18 |
| 修稿时间： | 2005-12-18 |
Diagnosis and interventional therapy of acute non-occlusive mesenteric ischemia |
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| LI Xuan,WU Wei-ping. Diagnosis and interventional therapy of acute non-occlusive mesenteric ischemia[J]. Journal of Interventional Radiology, 2006, 15(4): 209-212 |
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| Authors: | LI Xuan WU Wei-ping |
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| Affiliation: | Department of Radiology, Third Hospital, Peking University, Beijing 100083, China |
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| Abstract: | Objective To evaluate the effects of selective mesenteric angiography with continuous papaverine perfusion for the diagnosis and treatment of non-occlusive mesenteric ischemia(NOMI).Methods Eighteen patients with NOMI underwent selective superior mesenteric arteriography and papaverine perfusion via the SMA simultaneously were analized retrospectively.Results Fifteen out of the 18 cases recovered;2 cases underwent laparotomy;1 case died within 10 days.Conclusion Selective superior mesenteric arteriography with continuous papaverine perfusion is an effective diagnostic and therapeutic method for non-occlusive mesenteric ischemia.(J Intervent Radiol,2006,15:209-212) |
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| Keywords: | Non-occlusive mesenteric ischemia Artery superior mesenteric Interventional therapy |
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