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目的通过对临床资料的回顾,探讨急性肠系膜血管供血不足的早期诊断和治疗方法。方法对21例急性肠系膜缺血性疾病的临床资料进行分析。结果急性肠系膜血管供血不足多为高龄,常伴有心血管疾病,发生绞窄性肠梗阻后,病死率较高。结论急性肠系膜血管供血不全,术前往往很难做出诊断,但结合其特点,如发病初期症状与体症不相称,肠管坏死后出现腹膜炎等情况,应充分考虑本病的可能,对可疑患者选用恰当的检查方法,早期诊断,早期治疗,尽早手术探查。术后继续支持、抗炎、抗凝等治疗,预防多脏器功能衰竭,是提高生存率的关键。
Objective To review the clinical data to explore the early diagnosis and treatment of acute mesenteric vascular insufficiency. Methods The clinical data of 21 patients with acute mesenteric ischemic disease were analyzed. Results Acute mesenteric vascular insufficiency mostly elderly, often accompanied by cardiovascular disease, strangulation intestinal obstruction, the higher case fatality. Conclusion Acute mesenteric vascular insufficiency, often difficult to make a diagnosis before surgery, but combined with its characteristics, such as the onset of symptoms and physical symptoms disproportionate, peritonitis after bowel necrosis and so on, should take full account of the possibility of this disease, the suspicious patients Use the appropriate inspection methods, early diagnosis, early treatment, surgical exploration as soon as possible. Continue to support postoperative, anti-inflammatory, anticoagulant therapy, prevention of multiple organ failure, is to improve the survival rate of the key.