Cangemi John R, Picco Michael F
Division of Gastroenterology, Department of Medicine, Mayo Clinic Florida, 4500 San Pablo Road, Jacksonville, FL 32224, USA.
Gastroenterol Clin North Am. 2009 Sep;38(3):527-40. doi: 10.1016/j.gtc.2009.06.002.
Mesenteric ischemia in the elderly is an uncommon but often fatal disorder for which the prognosis depends entirely on the speed and accuracy of the diagnosis. A high index of suspicion is required as the early signs and symptoms, at a time when ischemic changes are reversible, are typically nonspecific or absent. This article reviews the clinical spectrum of mesenteric ischemia in the elderly with particular emphasis on the varied presentations, evaluation, and management of ischemic disorders of the intestines.
老年人肠系膜缺血是一种罕见但往往致命的疾病,其预后完全取决于诊断的速度和准确性。由于在缺血性改变可逆时的早期体征和症状通常不具特异性或不存在,因此需要高度的怀疑指数。本文回顾了老年人肠系膜缺血的临床谱,特别强调肠道缺血性疾病的各种表现、评估和管理。