急性肠系膜血管供血不全的诊断和治疗

目的：探讨急性肠系膜血管供血不全的诊断和治疗方法。方法：回顾性分析30例急性肠系膜血管供血不全的临床资料。26例(86．7％)年龄大于60岁；17例(56．7％)合并有心血管疾病及其它疾病。27例行急诊手术治疗，其中23例行小肠部分切除吻合术，2例行肠系膜上动脉取栓术，2例因肠系膜上动脉广泛梗塞、小肠广泛坏死未作处理。结果：25例(83．3％)发生绞窄性肠梗阻。3例因病情危重，未经手术即死于感染性休克和心肺功能衰竭。余27例均经手术治疗，治愈14例(46．7％)，死亡13例，总病死率53．3％。结论：充分认识该病，选用恰当的检查技术早期诊断，及时手术，是提高急性肠系膜血管供血不全治疗效果的关键。

The Diagnosis and Treatment of Acute Mesenteric Ischemia

Objective To study the diagnosis and treatment of acute mesenteric ischemia. Methods The clinical data of 30 cases of acute mesenteric ischemia diagnosed by both operation and pathology were analyzed retrospectively. The age of 26 cases (86.7%) were >60 years. 17 cases (56.7%) were accompanied with cardiovascular diseases and other concomitant diseases. Emergency operation was performed in 27 cases, of 23 cases underwent partial intestinal resection, of 2 cases underwent superior mesenteric artery embolectomy, other 2 cases did not undergo any operative treatment because of extensive intestinal infarction. Result 25 cases(83.3%) had strangulative intestinal obstruction. 3 cases died of septic shock before the operation. Of 27 cases who underwent definite operation, the curative rate was 46.7%(14/30), the overall mortality was 53.3%(16/30). Conclusions A better comprehension of this disease, early diagnosis with rational techniques and prompt operation are the keys to the management of the disease.