Mackenzie R L, Provan J L
Can Med Assoc J. 1974 Dec 7;111(11):1207-10.
Two cases of superior mesenteric arterial embolism are presented. The diagnosis should be suspected when severe abdominal pain develops suddenly in a patient with a cardiac arrhythmia or a recent history of myocardial infarction. Further support for the diagnosis is given by the finding of a poor peripheral circulation and a paucity of abdominal physical signs. The value of arteriography is questionable except to distinguish between thrombosis and embolism. The importance of early laparotomy as a diagnostic and life-saving measure is emphasized.
本文报告两例肠系膜上动脉栓塞病例。当心律失常患者或近期有心肌梗死病史的患者突然出现严重腹痛时，应怀疑该病的诊断。外周循环不良和腹部体征缺乏这一发现为该诊断提供了进一步支持。除了用于区分血栓形成和栓塞外，动脉造影的价值值得怀疑。强调了早期剖腹手术作为一种诊断和挽救生命措施的重要性。
