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1963年Harjola描述一种以进食后腹痛、疼痛持续时间不定、上腹有恒定收缩期杂音为特征的临床综合征。嗣后,有好几篇报道,称其为腹腔动脉受压综合征。因其症状含糊,缺乏临床体征,往往难以选择宜作手术的病人。腹腔动脉减压术的效果也不肯定。作者报告一例男性病人,23岁。长期有进食后上腹痛,上腹可闻及收缩期及舒张期杂音。腹腔音描记检查见吸气时腹部杂音强度减弱。动脉造影显示腹腔动脉开口处显著狭窄。术中发现在腹腔动脉开口处被膈肌的中弓状韧带纤维所缩窄,于是切断此韧带。术中测定腹腔动脉主要分支的血流量,证实韧带切断后血流量增加。术后随访4年,症状和血管杂音均消
In 1963 Harjola described a clinical syndrome characterized by post-abdominal pain, persistent pain, and constant systolic murmur in the upper abdomen. Subsequently, there are several reports, called the celiac artery compression syndrome. Because of its vague symptoms, lack of clinical signs, it is often difficult to choose the appropriate surgical patients. The effect of celiac artery decompression is not certain. The authors report a male patient, 23 years old. Long-term upper abdominal pain after eating, upper abdomen can be heard and systolic and diastolic murmur. Peritoneal tracheal examination found that the abdominal noise intensity decreased. Arteriography showed a significant stenosis of the celiac artery opening. Intraoperative findings in the opening of the celiac artery by the diaphragmatic midline ligament fibers narrow, so cut off the ligament. Intraoperative blood flow was measured in the main branches of the celiac artery, confirming an increase in blood flow after ligament severing. After 4 years of follow-up, symptoms and vascular murmur were eliminated