Andersson R, Pärsson H, Isaksson B, Norgren L
Acta Chir Scand. 1984;150(3):217-21.
The records of 60 patients with acute intestinal ischemia treated between 1969 and 1982 were studied retrospectively. Fifty-three patients (88%) had thrombosis or embolus of the superior mesenteric artery and 7 patients (12%) occlusion of the superior mesenteric vein. Initial symptoms were obscure, although 25% presented with signs of peritonitis. The most frequently used investigation was plain abdominal X-ray with a positive finding in only 1/3. Forty-three patients (72%) were operated on. In 18 patients irreversible changes were found. Total mortality rate was 82%, in SMA-thromboembolism 85% and in SMV-thrombosis 57%. To improve the prognosis clinical awareness of the problem and attempts towards early diagnosis should be raised.
对1969年至1982年间接受治疗的60例急性肠缺血患者的记录进行了回顾性研究。53例患者（88%）患有肠系膜上动脉血栓形成或栓塞，7例患者（12%）患有肠系膜上静脉闭塞。初始症状不明确，尽管25%的患者表现出腹膜炎体征。最常用的检查是腹部平片，阳性发现仅为三分之一。43例患者（72%）接受了手术。18例患者发现有不可逆的变化。总死亡率为82%，肠系膜上动脉血栓栓塞患者的死亡率为85%，肠系膜上静脉血栓形成患者的死亡率为57%。为改善预后，应提高对该问题的临床认识并努力实现早期诊断。
