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非闭塞性肠系膜血管缺血

Nonocclusive mesenteric vascular insufficiency.

作者信息

Habboushe F, Wallace H W, Nusbaum M, Baum S, Dratch P, Blakemore W S

出版信息

Ann Surg. 1974 Dec;180(6):819-22. doi: 10.1097/00000658-197412000-00003.

DOI:10.1097/00000658-197412000-00003
PMID:4433166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343801/
Abstract

A case of nonocclusive mesenteric vascular insufficiency in a patient with congestive heart failure on digitalis and with arrhythmia is presented. The preoperative diagnosis was made through mesenteric arteriography. A course of treatment was followed which we believe prevented intestinal gangrene. This regimen includes measures to increase cardiac output, local pharmacologic agents to induce mesenteric vasodilatation, antibiotics, and oxygen. The viability of the intra-abdominal organs was demonstrated by laparotomy.

摘要

本文报告一例充血性心力衰竭患者在使用洋地黄并伴有心律失常时发生非阻塞性肠系膜血管供血不足的病例。术前诊断通过肠系膜动脉造影做出。我们采用了一系列治疗措施，认为这些措施预防了肠坏疽。该治疗方案包括增加心输出量的措施、诱导肠系膜血管扩张的局部药物、抗生素和氧气。通过剖腹手术证实了腹内器官的存活情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/15d5cabb4946/annsurg00298-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/d3752a2eb8e7/annsurg00298-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/36808e3b15af/annsurg00298-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/15d5cabb4946/annsurg00298-0025-b.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/d3752a2eb8e7/annsurg00298-0024-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/36808e3b15af/annsurg00298-0025-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/92de/1343801/15d5cabb4946/annsurg00298-0025-b.jpg

相似文献

1
Nonocclusive mesenteric vascular insufficiency.非闭塞性肠系膜血管缺血
Ann Surg. 1974 Dec;180(6):819-22. doi: 10.1097/00000658-197412000-00003.
2
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引用本文的文献

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Treatment of nonocclusive mesenteric ischemia with type B aortic dissection using intra-arterial catheterization after trauma surgery: case report.创伤手术后采用动脉内导管插入术治疗B型主动脉夹层所致非闭塞性肠系膜缺血：病例报告
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3
Postoperative pneumatosis intestinalis (PI) and portal venous gas (PVG) may indicate bowel necrosis: a 52-case study.

本文引用的文献

1
Antibiotic protection of colon anastomoses.结肠吻合术的抗生素保护
Ann Surg. 1955 May;141(5):707-17. doi: 10.1097/00000658-195505000-00016.
2
ABOLITION OF 'TRYPTIC ENTERITIS' IN THE SHOCKED DOG. CREATION OF AN EXPERIMENTAL MODEL FOR STUDY OF HUMAN SHOCK AND ITS SEQUELAE.消除休克犬的“胰蛋白酶性肠炎”。建立用于研究人类休克及其后遗症的实验模型。
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SERIAL EPIDURAL ANALGESIA IN MESENTERIC ARTERIAL FAILURE.
Arch Surg. 1965 Feb;90:177-81. doi: 10.1001/archsurg.1965.01320080001001.
术后肠壁积气（PI）和门静脉气体（PVG）可能提示肠坏死：一项52例的研究。
BMC Surg. 2016 Jul 8;16(1):42. doi: 10.1186/s12893-016-0158-x.
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HEMORRHAGIC NECROSIS OF THE INTESTINE. A CLINICAL SYNDROME: PRESENCE WITHOUT ORGANIC VASCULAR OCCLUSION.
Arch Surg. 1964 Jul;89:42-53. doi: 10.1001/archsurg.1964.01320010044006.
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Mesenteric vascular insufficiency. Intestinal ischemia induced by remote circulatory disturbances.肠系膜血管供血不足。由远处循环障碍引起的肠缺血。
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Acute hemorrhage and necrosis of the intestines associated with digitalization.
Circulation. 1961 Mar;23:358-64. doi: 10.1161/01.cir.23.3.358.
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A clinical study of 51 cases of mesenteric infarction.
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The effect of digoxin in the splanchnic circulation in ventricular failure.地高辛对心力衰竭时内脏循环的影响。
Circulation. 1965 Oct;32(4):524-37. doi: 10.1161/01.cir.32.4.524.
9
Nonocclusive mesenteric vascular disease: clinical and experimental observations.非闭塞性肠系膜血管疾病：临床与实验观察
Ann Surg. 1969 May;169(5):704-11. doi: 10.1097/00000658-196905000-00007.
10
Experimental nonocclusive mesenteric ischemia. Therapeutic observations.实验性非闭塞性肠系膜缺血。治疗观察。
Am J Surg. 1968 Jan;115(1):82-8. doi: 10.1016/0002-9610(68)90133-5.