Department of Cardiovascular Sciences, East Carolina University Brody School of Medicine, 115 Heart Drive, Mail Stop 651, Greenville, NC 27834, USA.
Surg Clin North Am. 2018 Oct;98(5):995-1004. doi: 10.1016/j.suc.2018.06.002. Epub 2018 Jul 29.
Acute mesenteric ischemia is a surgical emergency commonly caused by embolic or thrombotic occlusion of the superior mesenteric artery. Prompt diagnosis, fluid resuscitation, systemic anticoagulation, and mesenteric revascularization are key tenants to the treatment of this lethal condition. Revascularization can be performed via open thromboembolectomy or surgical bypass, endovascular techniques, or a hybrid approach of the 2. Despite technological advancements, mortalities remain high, and the plan of care and revascularization should be based on the patient's clinical status and available medical center resources.
急性肠系膜缺血是一种外科急症，通常由肠系膜上动脉的栓塞或血栓形成引起。及时诊断、液体复苏、全身抗凝和肠系膜血运重建是治疗这种致命疾病的关键。血运重建可以通过开放血栓切除术或旁路手术、血管内技术或两者的混合方法来完成。尽管技术有所进步，但死亡率仍然很高，治疗方案和血运重建应基于患者的临床状况和可用的医疗中心资源。
