急性肠系膜血管闭塞的临床特征

目的探讨急性肠系膜血管闭塞(AMVO)的临床特征。方法选择69例AMVO患者,男47例,女22例,对不同性别患者临床特征进行回顾性分析。结果女性急性肠系膜动脉栓塞的比例高于男性(50.0%υs 36.2%,P=0.276);患者初次就诊时均有腹痛表现,但男性呕吐和上腹痛多于女性,女性血便的比例多于男性;男性患者入院时白细胞总数明显低于女性患者(13.50±6.53)×10~9/Lυs(22.97±10.77)×10~9/L,P=0.004];男性中性粒细胞的百分比亦低于女性0.83±0.11υs 0.90±0.07,P=0.044];D-二聚体男性与女性接近(7.72±6.82)mg/Lυs(8.09±8.76)mg/L,P=0.901]。结论在AMVO患者中,女性患者急性肠系膜动脉栓塞的比例高于男性,且临床病情也较男性重。

Clinical features of acute mesenteric vascular occulsion

Objective To study the clinical features of acute mesenteric vascular occlusion (AMVO).Methods Clinical data about 69 AMVO patients(47 males and 22 females) were retrospectively analyzed.Results The proportion of acute mesenteric artery embolism was significantly higher in female patients than in male patients(50.0%vs 36.2%,P = 0.276).The patients complained of abdominal pain at their first visit to our department.The proportion of vomiting and upper abdominal pain was significantly higher in male patients than in female patients while that of blood stool was higher in female patients than in male patients(P<0.05).The number of total while blood cells and the percentage of neutrophils were significantly lower in male patients than in female patients at their admission(13.50±6.53)×10~9/L vs(22.97±10.77)×10~9/L, (0.83±0.11) vs(0.90±0.07),P = 0.004,P=0.044].No significant difference was found in dimer between male and female patients(7.72±6.82 mg/L vs 8.09±8.76 mg/L,P = 0.901).Conclusion The proportion and severity of acute mesenteric artery embolism are higher in female AMVO patients than in male AMVO patients.