Stepanov N V, Volkoedov V S, Bogdanets L I
Khirurgiia (Mosk). 1989 Sep(9):44-7.
The article deals with retrospective analysis of the results of treatment of embolism of the mesenteric arteries in 111 patients. The condition developed after restorative operations on the main arteries of the limbs carried out in 2,984 patients with acute ischemia of the limbs. The analysis showed that a series of diagnostic and tactical errors were made in different stages of treatment. To improve the results of management, early exact diagnosis of embolism of the mesenteric arteries is necessary which can be made only by means of angiography which is undertaken as an emergency procedure for vital indications. Operative treatment should be started with laparotomy and restoration of circulation in the mesenteric channel after which operation on the vessels of the limbs is conducted.
本文对111例肠系膜动脉栓塞患者的治疗结果进行了回顾性分析。该病症发生于2984例急性肢体缺血患者接受肢体主要动脉修复手术后。分析表明,在治疗的不同阶段存在一系列诊断和策略性错误。为提高治疗效果,必须早期准确诊断肠系膜动脉栓塞,而这只能通过血管造影来实现,血管造影应作为一项针对关键指征的紧急程序进行。手术治疗应从剖腹探查开始,恢复肠系膜通道的血液循环,之后再对肢体血管进行手术。