Hines J R, Gore R M, Ballantyne G H
Am J Surg. 1984 Nov;148(5):630-2. doi: 10.1016/0002-9610(84)90339-8.
The hospital records and radiographs of 44 patients diagnosed as having superior mesenteric artery syndrome were reviewed using strict clinical and radiographic criteria. Only six (14.6 percent) of the patients fulfilled these criteria, suggesting over-diagnosis of the disorder. An acute change in clinical status, such as an operation or complication of a medical disease, appeared to precipitate the superior mesenteric artery syndrome in these patients, all of whom had chronic debilitating diseases. In four of the six patients conservative therapy failed, and they required surgical decompression.
我们使用严格的临床和影像学标准，对44例被诊断为患有肠系膜上动脉综合征的患者的医院记录和X光片进行了回顾。只有6例（14.6%）患者符合这些标准，这表明该疾病存在过度诊断的情况。临床状况的急性变化，如手术或内科疾病的并发症，似乎促使这些患者发生了肠系膜上动脉综合征，他们均患有慢性消耗性疾病。6例患者中有4例保守治疗失败，需要进行手术减压。
