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急性肠系膜上动脉栓塞(SMAE)是临床上一种严重的急腹症，多发于老年人，可导致腹痛、腹泻、便血、呕吐等症状，随病情恶化可出现绞榨性肠梗阻、弥漫性腹膜炎、休克等危及生命的情况。当出现腹膜炎症状和体征时，患者多已发生肠坏死和穿孔。因此，早期开通闭塞血管是提高急性肠系膜上动脉栓塞预后的关键。本文分享1例老年肠系膜上动脉栓塞患者，通过置入动脉支架开通肠系膜上动脉，取得良好预后。“,”Acute superior Mesenteric embolism (SMAE) is a kind of severe acute abdominal disease in clinical practice, which often occurs in the elderly and can cause abdominal pain, diarrhea, hematochezia, vomiting and other symptoms.With the deterioration of the disease, strangulated intestinal obstruction, diffuse peritonitis, shock and other life-threatening conditions may occur.When signs and symptoms of peritonitis appear, intestinal necrosis and perforation usually occur.Therefore, early opening of occluded vessels is the key to improve the prognosis of acute superior mesenteric artery embolization.In this paper, an elderly patient with superior mesenteric artery embolization was treated with stent implantation to open the superior mesenteric artery and achieved a good prognosis.