Kerzmann A, Haumann A, Boesmans E, Detry O, Defraigne J O
Service de Chirurgie Cardiovasculaire et Thoracique, CHU Sart Tilman, Liège, Belgique.
Service de Chirurgie Abdominale et de Transplantation, CHU Sart Tilman, Liège, Belgique..
Rev Med Liege. 2018 May;73(5-6):300-303.
Acute mesenteric ischemia is a real life-threatening emergency. Mode of presentation is severe abdominal pain with sudden onset. The etiology is most of the time embolus coming from the heart or thrombosis of atherosclerotic vessel wall concerning the superior mesenteric artery. The best investigation is computed tomography with intravenous contrast media injection. Treatment consists of revascularization by open surgery or endovascular approach. Bowel resection may be necessary, as well as delayed second look surgery. This paper aims to review etiologies and therapeutics options for acute mesenteric ischemia.
急性肠系膜缺血是一种真正危及生命的急症。其表现形式为突发的剧烈腹痛。病因大多时候是来自心脏的栓子或肠系膜上动脉粥样硬化血管壁的血栓形成。最佳检查方法是静脉注射造影剂的计算机断层扫描。治疗包括通过开放手术或血管内介入方法进行血管重建。可能需要进行肠切除以及延迟的二次探查手术。本文旨在综述急性肠系膜缺血的病因和治疗选择。