Luther B, Bürger K, Sellentin W
Klinik für Chirurgie, Bereichs Medizin (Charité) der Humboldt-Universität zu Berlin.
Zentralbl Chir. 1987;112(22):1411-9.
Acute obstruction of arterial blood flow in digestive organs has been recorded from two per cent of all patients with acute abdominal disorders and has accounted for roughly eight per cent of all sudden vascular occlusions. Symptoms are generally occult and are quite often misinterpreted. This together with short warm ischaemia tolerance of the intestinal tract, somewhat between two and three hours, has continued to cause death of nearly 90 per cent of such patients. Bilateral retrospective studies were conducted into 66 patients with acute intestinal arterial occlusions over ten years and have confirmed the importance of early diagnosis and immediate surgical action. Particular emphasis should be laid, in that context, on adequate clinical diagnosis and reconstructive arterial surgery along with removal of avital intestinal sections. High mortality among the patients concerned can be substantially reduced by no-delay, thorough medical action.
在所有急性腹部疾病患者中,有2%的病例记录到消化器官动脉血流急性梗阻,约占所有突发性血管闭塞病例的8%。症状通常隐匿,常被误诊。再加上肠道对温暖缺血的耐受性较短,约两到三个小时,这使得近90%的此类患者持续死亡。对66例急性肠动脉闭塞患者进行了为期十年的双侧回顾性研究,证实了早期诊断和立即手术的重要性。在此背景下,应特别强调进行充分的临床诊断和动脉重建手术,同时切除无活力的肠段。及时、彻底的医疗行动可大幅降低相关患者的高死亡率。