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目的:为提高急性肠系膜缺血性疾病的诊治水平。方法:对收治的10例急性肠系膜缺血疾病患者临床资料进行临床综合分析。结果:肠系膜上动脉栓塞及血栓形成5例,肠系膜上静脉血栓4例,肠系膜下动脉分支血栓形成1例;7例行坏死肠切除肠吻合术,1例行剖探查术,2例行保守治疗;4例治愈,6例死亡,治愈率40%,病死率60%。结论:本病病情凶险,误诊率高,早期诊断有赖于临床医生对病情熟悉和综合分析,以及正确选用影像学检查;肠切除是本病治疗基本方法;早诊早治、综合治疗是降低病死率关键
Objective: To improve the diagnosis and treatment of acute mesenteric ischemic disease. Methods: The clinical data of 10 patients with acute mesenteric ischemic disease admitted to our hospital were analyzed comprehensively. Results: 5 cases of superior mesenteric artery thrombosis and thrombosis, 4 cases of superior mesenteric vein thrombosis, 1 case of inferior mesenteric artery thrombosis, 7 cases of necrotizing entero-intestinal anastomosis, 1 case of exploration and 2 cases of conservative treatment ; 4 cases were cured, 6 died, the cure rate was 40% and the case fatality rate was 60%. Conclusion: The disease is dangerous and the rate of misdiagnosis is high. Early diagnosis depends on clinicians familiar with and comprehensive analysis of the disease, and the correct selection of imaging studies; intestinal resection is the basic method of treatment of this disease; early diagnosis and treatment, comprehensive treatment is to reduce mortality Rate the key