摘要
目的为了全面认识肠系膜血管病变导致的急腹症的严重性，探讨提高疗效的措施。方法对１７个病例的临床特点、治疗方法和效果进行了分析比较。其中１５例为循环不良引起受累肠管的梗塞，表现为肠梗阻；另２例为血管壁破裂导致腹腔内大出血，包括１例少见的肠系膜卒中。结果患此种病症者多属高龄病人，常伴有心血管疾病，发生绞窄性肠梗阻或大出血后，病死率很高，１９８５年前２０年间为７５％，近１０年减少到３３％，治愈率达６７％。结论说明充分认识此疾患，应用恰当的检查技术，早期诊断，及时治疗是提高疗效的关键。
Objective\ In order to recognize the high risk of acute abdomen caused by mesenteric vascular lesions and to improve the treatment.Methods\ 17 cases have been followed and analyzed on clinic features and curative methods.Among these patients,15 cases suffered from stangulation of the affected intestine induced by circulation insuficiency,which appeared as intestinal obstruction.The other 2 cases were rapture of arterial wall resulting in massive intra-abdominal hemorrhage,including one rare cases of mesenteric apoplexy.Results\ The result showed that most cases were aged patients accompanying with cardiovascular disease.Once strangulation intestinal obstruction or massive bleeding developed,the mortality rate would be very high.It was 75% in 20 years before 1985 and reduced to 33% in late 12 years.About 67% cases had been cured and recovered recently.Conclusion\ Therefore,a better comprehension of this disorder,early diagnosis with suitable techniques and prompt treatment are the keys for rescue.
出处
《中国实用外科杂志》
CSCD
北大核心
1999年第3期158-159,共2页
Chinese Journal of Practical Surgery
关键词
肠系膜血管病变
急腹症
Mesenteric vascular lesion\ Acute abdomen\ Cardiovascular disease\ Strangulative intestinal obstruction
