Chabert S, Porcheron J, Balique J G
Service de Chirurgie Générale, Hôpital de Bellevue, Saint-Etienne.
J Chir (Paris). 1999 Oct;136(3):130-5.
Acute mesenteric ischemia is an infrequent abdominal emergency. The 90% mortality of this affection is related to a delayed diagnosis. The mesenteric ischemia and the mesenteric infarction are two different pathologic stages characterized by two different treatment and prognosis. Superior mesenteric artery embolism is the most frequent cause of mesenteric ischemia. According a difficult clinical diagnosis and the necessity of an early diagnosis we suggest an aggressive attitude. All the patients presenting risk factors and an abdominal pain must have a mesenteric angiography. The purpose of the angiography is diagnostic and therapeutic. The aim of surgery in case of mesenteric ischemia is to restore a normal vascularisation. In spite of this attitude the prognosis of this affection remain poor.
急性肠系膜缺血是一种罕见的腹部急症。这种疾病90%的死亡率与诊断延迟有关。肠系膜缺血和肠系膜梗死是两个不同的病理阶段，其治疗方法和预后各不相同。肠系膜上动脉栓塞是肠系膜缺血最常见的原因。鉴于临床诊断困难以及早期诊断的必要性，我们建议采取积极的态度。所有有危险因素且出现腹痛的患者都必须进行肠系膜血管造影。血管造影的目的兼具诊断和治疗。肠系膜缺血时手术的目的是恢复正常的血管供应。尽管采取了这种态度，这种疾病的预后仍然很差。
