| 介入取栓术治疗急性肠系膜上动脉栓塞临床研究 |
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| 引用本文： | 李选,欧阳强,萧湘生. 介入取栓术治疗急性肠系膜上动脉栓塞临床研究[J]. 介入放射学杂志, 2006, 15(4): 206-208 |
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| 作者姓名： | 李选 欧阳强 萧湘生 |
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| 作者单位： | 北京大学第三医院放射科,100083;200003,上海,第二军医大学长征医院 |
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| 摘 要： | 目的评价经皮肠系膜上动脉吸栓和(或)溶栓治疗急性肠系膜上动脉栓塞的疗效。方法34例急性肠系膜上动脉栓塞的患者(房颤14例;左房黏液瘤2例;血栓形成15例;慢性缺血性肠病急性发作3例),行经皮动脉长鞘吸栓术和(或)溶栓术。结果34例患者均成功的去除栓子,动脉开通。31例痊愈;2例行开腹探查;1例24h后死亡。结论经皮介入取栓术对于治疗急性肠系膜上动脉栓塞,是一种简便有效的方法。准确地判断病因是提高疗效,避免合并症的关键。
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| 关 键 词： | 栓子去除术 经皮的 动脉 肠系膜上动脉 闭塞 |
| 文章编号： | 4000-704X（2006）04-0206-03 |
| 修稿时间： | 2005-12-18 |
Interventional embolectomy for acute superior mesenteric artery embolism |
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| LI Xuan,OUYANG Qiang,XIAO Xiang-sheng. Interventional embolectomy for acute superior mesenteric artery embolism[J]. Journal of Interventional Radiology, 2006, 15(4): 206-208 |
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| Authors: | LI Xuan OUYANG Qiang XIAO Xiang-sheng |
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| Affiliation: | Department of Radiology, Changzhen Hospital, Second Military Medical University, Shanghai 200003, China |
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| Abstract: | Objective To evaluate the effects of percutaneous embolectomy for treament of acute superior mesenteric artery embolism.Methods 34 cases(atrial fibrillation 14 cases;left atrium myxoma 2 cases;SMA thrombosis 15 cases and chronic mesenteric ischemia 3 cases)of acute mesenteric artery embolism were treated with percutaneous embolectomy using long sheath aspiration method and/or thrombolysis via catheterization of the SMA.Results Successful recanalizations were achieved in all of the 34 superior mesenteric arterial embolism including recovery in 31 cases,laparotomy for 2 cases,and 1 died within 24 hours.Conclusions Percutaneous embolectomy using long sheath aspiration is a simple and effective method for treatment of acute superior mesenteric artery embolism.A correct pathogenetie diagnosis is the key to improve the curative effect and avoid the severe complication.(J Intervent Radiol,2005,15:206-208) |
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| Keywords: | Embolectomy percutaneous Artery superior mesenteric Occlusion |
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