Scattone S, Pintus M, Angioy F, Uccheddu A, Murgia C, Neri A, Cagetti M
Istituto di I Patologia Chirurgica, Università degli Studi di Cagliari.
Minerva Chir. 1991 Sep 30;46(18):941-6.
The Authors report their clinical experience in superior mesenteric artery embolism: 10 arterial embolisms (71%) collected from a series of 14 obstructions of the superior mesenteric artery. The main interval from the beginning of the symptomatology to hospital admission was 48 h. Laparotomy was performed in all ten patients; gangrenous bowel was resected in 2 and 2 had an embolectomy of the superior mesenteric artery without intestinal resection. The remaining 6 patients had laparotomy alone and died. The Authors emphasize the difficulty in recognizing the disease at an early stage and suggest to contemplate in patients at risk with a persistent abdominal pain, the possibility of a superior mesenteric artery embolism.
在一系列14例肠系膜上动脉阻塞病例中，有10例动脉栓塞（占71%）。从症状出现到入院的主要间隔时间为48小时。所有10例患者均接受了剖腹手术；2例切除了坏死肠段，2例行肠系膜上动脉栓子切除术而未进行肠切除。其余6例仅接受了剖腹手术并死亡。作者强调早期识别该病存在困难，并建议对于有持续性腹痛的高危患者，考虑肠系膜上动脉栓塞的可能性。
