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危重症患者的缺血性肠病(肠系膜缺血和非闭塞性肠系膜缺血)

Ischemic Gut in Critically Ill (Mesenteric Ischemia and Nonocclusive Mesenteric Ischemia).

作者信息

Gupta Sachin, Tomar Deeksha S

机构信息

Department of Critical Care Medicine, Narayana Superspeciality Hospital, Gurugram, Haryana, India.

出版信息

Indian J Crit Care Med. 2020 Sep;24(Suppl 4):S157-S161. doi: 10.5005/jp-journals-10071-23611.

Abstract

Ischemic gut or splanchnic hypoperfusion is a life-threatening emergency and it is associated with high mortality. It requires prompt diagnosis and intervention to establish the mesenteric blood flow, hence an attempt to avoid gut necrosis. Despite the understanding of pathogenesis of acute mesenteric ischemia and advanced treatment and revascularization techniques, it still remains a big diagnostic dilemma for the clinicians. Any delay in diagnosis and appropriate treatment affects the overall outcome of the patient. The high incidence of sepsis and multiorgan failure requires high-quality intensive care management. Gupta S, Tomar DS. Ischemic Gut in Critically Ill (Mesenteric Ischemia and Nonocclusive Mesenteric Ischemia). Indian J Crit Care Med 2020;24(Suppl 4):S157-S161.

摘要

缺血性肠病或内脏低灌注是一种危及生命的急症,且与高死亡率相关。它需要及时诊断和干预以建立肠系膜血流,从而避免肠坏死。尽管对急性肠系膜缺血的发病机制以及先进的治疗和血管重建技术有所了解,但它对临床医生而言仍是一个重大的诊断难题。诊断和恰当治疗的任何延迟都会影响患者的总体预后。脓毒症和多器官功能衰竭的高发生率需要高质量重症监护管理。古普塔 S、托马尔 DS。危重症患者的缺血性肠病(肠系膜缺血和非闭塞性肠系膜缺血)。《印度重症监护医学杂志》2020 年;24(增刊 4):S157 - S161。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c187/7724951/a405d261333e/ijccm-24-S157-g001.jpg

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