Kaleya R N, Boley S J
Albert Einstein College of Medicine, Bronx, NY 10467.
Can J Surg. 1992 Dec;35(6):613-23.
The incidence of acute mesenteric ischemia (AMI) has increased substantially over the last few decades. Death rates of 70% to 90% have been reported for traditional methods of diagnosis and therapy. Use of an aggressive radiologic, pharmacologic and surgical approach has decreased the mortality and morbidity associated with AMI. The cornerstones of management are prompt diagnosis by the earlier and more liberal use of angiography and the incorporation of intra-arterial papaverine in the treatment of both occlusive and nonocclusive AMI. Widespread adoption of this protocol in patients at risk might improve the overall results of treatment of AMI.
在过去几十年中，急性肠系膜缺血（AMI）的发病率大幅上升。据报道，传统诊断和治疗方法的死亡率为70%至90%。采用积极的放射学、药理学和手术方法已降低了与AMI相关的死亡率和发病率。治疗的基石是通过更早、更广泛地使用血管造影术进行快速诊断，以及在闭塞性和非闭塞性AMI治疗中加入动脉内罂粟碱。在有风险的患者中广泛采用该方案可能会改善AMI的总体治疗效果。
