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急性肠系膜缺血:临床综述

Acute mesenteric ischemia: a clinical review.

作者信息

Oldenburg W Andrew, Lau L Louis, Rodenberg Thomas J, Edmonds Hope J, Burger Charles D

机构信息

Section of Vascular Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL 32224, USA.

出版信息

Arch Intern Med. 2004 May 24;164(10):1054-62. doi: 10.1001/archinte.164.10.1054.

DOI:10.1001/archinte.164.10.1054
PMID:15159262
Abstract

Acute mesenteric ischemia is a life-threatening vascular emergency that requires early diagnosis and intervention to adequately restore mesenteric blood flow and to prevent bowel necrosis and patient death. The underlying cause is varied, and the prognosis depends on the precise pathologic findings. Despite the progress in understanding the pathogenesis of mesenteric ischemia and the development of modern treatment modalities, acute mesenteric ischemia remains a diagnostic challenge for clinicians, and the delay in diagnosis contributes to the continued high mortality rate. Early diagnosis and prompt effective treatment are essential to improve the clinical outcome.

摘要

急性肠系膜缺血是一种危及生命的血管急症,需要早期诊断和干预,以充分恢复肠系膜血流,预防肠坏死和患者死亡。其潜在病因多种多样,预后取决于确切的病理表现。尽管在理解肠系膜缺血的发病机制以及现代治疗方法的发展方面取得了进展,但急性肠系膜缺血对临床医生来说仍然是一个诊断挑战,诊断延迟导致死亡率持续居高不下。早期诊断和及时有效的治疗对于改善临床结局至关重要。

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Acute mesenteric ischemia: a clinical review.急性肠系膜缺血:临床综述
Arch Intern Med. 2004 May 24;164(10):1054-62. doi: 10.1001/archinte.164.10.1054.
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