多支肠系膜动脉慢性闭塞所致肠系膜缺血：一例报告
Mesenteric ischemia caused by chronic occlusion of multiple mesenteric arteries: a case report.
作者信息
Zhao Qin-Ming, Xu Zhong-You, Wang Hui
机构信息
Department of Vascular Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo, Zhejiang, China.
出版信息
Surg Case Rep. 2024 Sep 6;10(1):209. doi: 10.1186/s40792-024-02013-6.
Abstract
PURPOSE
Chronic mesenteric ischemia (CMI) is a rare disease that progresses with acute mesenteric ischemia, along with high mortality. How to choose the appropriate surgical method and the artery which should be opened first is the key to the treatment.
CASE REPORT
In this study, we successively used vascular bypass and endovascular therapy to treat a case of complex chronic mesenteric ischemia.
CONCLUSION
For mesenteric ischemic disease, the superior mesenteric artery (SMA) should be opened preferentially. Arterial bypass or interventional therapy can be used, or both can be combined, to finally achieve the purpose of treatment.
摘要
目的
慢性肠系膜缺血（CMI）是一种罕见疾病，常伴急性肠系膜缺血进展，死亡率高。如何选择合适的手术方式以及首先开通的动脉是治疗的关键。
病例报告
在本研究中，我们先后采用血管搭桥和血管内治疗方法，成功治疗了1例复杂慢性肠系膜缺血患者。
结论
对于肠系膜缺血性疾病，应优先开通肠系膜上动脉（SMA）。可采用动脉搭桥或介入治疗，也可两者联合，最终达到治疗目的。
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