Böttger T, Jonas J, Weber W, Junginger T
Klinik und Poliklinik für Allgemein- und Abdominalchirurgie, Johannes Gutenberg-Universität Mainz.
Bildgebung. 1991;58(4):192-8.
In a consecutive series the sensitivity of the preoperative diagnostic in acute mesenteric vascular occlusion was investigated prosprectively in 62 patients. 22 patients had an arterial thrombosis, 20 patients a venous thrombosis, 13 patients had an embolism, six patients a non-occlusive disease and one patient suffered from a dissection of the aorta. All but three patients (95.2%) had a leukocytosis with an average of 18,700/nl. The serum lactate was increased in 88.7% of the patients. The percutaneous ultrasonography was without any pathological findings in 45% of the patients. The x-ray of the abdomen shows signs of an ileus in more than half of the patients. The angiography had a sensitivity of 74%.
在一组连续病例中，对62例急性肠系膜血管闭塞患者进行了前瞻性术前诊断敏感性研究。22例患者为动脉血栓形成，20例为静脉血栓形成，13例为栓塞，6例为非闭塞性疾病，1例为主动脉夹层。除3例患者（95.2%）外，所有患者均有白细胞增多，平均为18,700/微升。88.7%的患者血清乳酸升高。45%的患者经皮超声检查无任何病理发现。超过半数患者腹部X线显示肠梗阻迹象。血管造影的敏感性为74%。
