Singh R P, Shah R C, Lee S T
Surgery. 1975 Nov;78(5):613-7.
High mortality rates associated with mesenteric occlusion are a tremendous challenge. We reviewed 32 patients admitted to Beckley Appalachian Regional Hospital during the years 1965 to 1974. The majority of the patients were men. There was quite a variation in the symptoms and physical signs, with heart disease commonly associated with mesenteric occlusion. Massive gangrene involving the small and large bowels had the worst prognosis. Thrombectomy and anticoagulation did not prove beneficial in our series. Patients who survived massive resection are having intermittent diarrhea, responsive to medical treatment. The mortality rate in this series of 32 patients was 81.3 percent. It is hoped that with increased use of mesenteric angiography, early diagnosis, and prompt management the mortality rate can be brought down to acceptable levels.
肠系膜闭塞相关的高死亡率是一个巨大的挑战。我们回顾了1965年至1974年间入住贝克利阿巴拉契亚地区医院的32例患者。大多数患者为男性。症状和体征差异很大，心脏病常与肠系膜闭塞相关。累及小肠和大肠的广泛性坏疽预后最差。在我们的系列研究中，血栓切除术和抗凝治疗并未显示出益处。接受大面积切除术存活的患者有间歇性腹泻，对药物治疗有反应。这32例患者的死亡率为81.3%。希望随着肠系膜血管造影术的更多应用、早期诊断和及时处理，死亡率能够降至可接受的水平。
