Røkke O, Wasmuth H H, Abendstein H, Moland J H, Danielsen S
Kirurgisk avdeling, Nordland Sentralsykehus.
Tidsskr Nor Laegeforen. 1992 Aug 30;112(20):2640-1.
We describe a patient with acute intestinal ischemia successfully treated with embolectomy of the superior mesenteric artery. Over the last four years, 11 patients with the same disease were treated with bowel resection at Nordland Regional Hospital. The mortality rate after bowel resection was 45%. Long duration of symptoms, and high frequency of associated cardiovascular disease was characteristic. In elderly patients with acute abdominal pain and cardiovascular disease, a diagnosis of acute mesenterial ischemia should be seriously considered. In patients with acute mesenteric ischemia and no bowel necrosis, embolectomy must be considered in preference to bowel resection.
我们描述了一名成功接受肠系膜上动脉取栓术治疗的急性肠缺血患者。在过去四年中，诺德兰地区医院有11名患有相同疾病的患者接受了肠切除术治疗。肠切除术后的死亡率为45%。症状持续时间长以及相关心血管疾病的高发病率是其特点。对于患有急性腹痛和心血管疾病的老年患者，应认真考虑急性肠系膜缺血的诊断。对于患有急性肠系膜缺血且无肠坏死的患者，必须优先考虑取栓术而非肠切除术。
