Takayama Hideo, Takeda Shinhiro, Saitoh Sabine Kyoko, Hayashi Hiromitsu, Takano Teruo, Tanaka Keiji
Division of Intensive Care and Coronary Care Unit, Nippon Medical School, Tokyo.
Intern Med. 2002 Sep;41(9):713-6. doi: 10.2169/internalmedicine.41.713.
A case of a 63-year-old man with isolated dissection of the superior mesenteric artery (SMA), demonstrated by enhanced computed tomography (CT) and abdominal angiography, was admitted to our hospital. The severity of this disease varies from mild to severe; the severe cases require surgery. But the mild cases, like the one presented here, only need conservative therapy. This case demonstrated the usefulness of anticoagulation therapy and the indications for surgical and radiological intervention.
一名63岁男性,经增强计算机断层扫描(CT)和腹部血管造影证实为孤立性肠系膜上动脉(SMA)夹层,被收治入院。该病的严重程度从轻度到重度不等;严重病例需要手术治疗。但轻度病例,如此处呈现的这例,仅需保守治疗。该病例展示了抗凝治疗的有效性以及手术和放射介入治疗的指征。