Georgiev G
Khirurgiia (Sofiia). 1989;42(1):23-9.
Analysis was made of 175 patients treated for acute obstruction of the mesenteric vessels. The incidence was higher in males (male/female ratio = 2.5/l) and in winter--62 per cent of the cases. An the basis of thorough analysis of the most common diseases responsible for thrombus formation and thromboembolism and the basic symptoms in the clinical picture, ad ot table was elaborated for early diagnosis of acute obstruction of mesenterial vessels, enabling to take quick decision even without angiography. The level of obstruction in 57 per cent of the patients was in the stem of the mesenterial arteries; conclusion is hence made that, when possible, only reconstructive vascular operation associated or not with intestinal resection, will lead to permanent cure. Of all 175 patients in this series, 81 (46.5 per cent) were operated and 68 of them (83.9 per cent) died; only 13 survived (16 per cent). All of the unoperated 94 patients (53.5 per cent) died. Hence, a total of 162 patients died (92.6 per cent) and 13 survived (7.4 per cent).
对175例因肠系膜血管急性梗阻接受治疗的患者进行了分析。男性发病率较高（男/女比例为2.5/1），且冬季发病率较高——占病例的62%。在对导致血栓形成和血栓栓塞的最常见疾病以及临床表现中的基本症状进行全面分析的基础上，制定了一张用于肠系膜血管急性梗阻早期诊断的表格，即使在没有血管造影的情况下也能迅速做出决策。57%的患者梗阻部位在肠系膜动脉主干；因此得出结论，在可能的情况下，只有联合或不联合肠切除术的血管重建手术才能实现根治。在该系列的175例患者中，81例（46.5%）接受了手术，其中68例（83.9%）死亡；仅13例存活（16%）。所有未接受手术的94例患者（53.5%）均死亡。因此，共有162例患者死亡（92.6%），13例存活（7.4%）。
