Ling Felix J, Eskandari Mark K
Division of Vascular Surgery, Northwestern University, Feinberg School of Medicine, Chicago, IL 60611, USA.
Vasc Endovascular Surg. 2005 Jul-Aug;39(4):351-3. doi: 10.1177/153857440503900408.
Chronic mesenteric ischemia is primarily a disease of the elderly, who have widespread atherosclerosis of the celiac, superior mesenteric, and inferior mesenteric arteries. Risk factors include smoking, vasculitis, fibromuscular dysplasia, and arterial dissection. Presented here are 2 cases of women under age 50 years burdened with this condition, owing primarily to advanced arteriosclerosis. These cases illustrate a need for increased awareness of mesenteric ischemia as a cause for postprandial abdominal pain in young patients with other stigmata of advanced arterial occlusive disease.
慢性肠系膜缺血主要是一种老年疾病，患者的腹腔干动脉、肠系膜上动脉和肠系膜下动脉普遍存在动脉粥样硬化。危险因素包括吸烟、血管炎、纤维肌发育不良和动脉夹层。本文介绍了2例50岁以下患有此病的女性病例，主要病因是晚期动脉硬化。这些病例表明，对于患有晚期动脉闭塞性疾病其他体征的年轻患者，有必要提高对肠系膜缺血作为餐后腹痛病因的认识。
