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[慢性腹部缺血综合征]

[Chronic abdominal ischemia syndrome].

作者信息

Kazanchian P O

出版信息

Kardiologiia. 1978 Aug;18(8):43-50.

PMID:691964
Abstract

The article analyses 303 cases with affection of the visceral branches of the abdominal aorta. In 210 cases it was caused by atherosclerosis, in 67 by nonspecific aorto-arteritis and in 26 by extravasal factors. In 190 cases there were no clinical manifestations of occlusive lesions. The abdominal syndrome was found in 113 patients. The main symptoms were abdominal pain (in 94 patients), intestinal dysfunction (in 84) associated with the intake of food, and in severe stages of ischemia, progressive loss of body weight (in 46 patients). On grounds of the case history, the presence of a murmur in the epigastrium, and symptoms of involvement of other arteries it may be assumed that the abdominal abnormalities are of vascular origin. The principal diagnostic method is angiography which makes it possible to identify and record the affection of visceral branches of the abdominal aorta.

摘要

本文分析了303例腹主动脉内脏分支受累的病例。其中210例由动脉粥样硬化引起,67例由非特异性主动脉动脉炎引起,26例由血管外因素引起。190例无闭塞性病变的临床表现。113例患者出现腹部综合征。主要症状为腹痛(94例)、与进食相关的肠道功能障碍(84例),在缺血严重阶段,体重逐渐减轻(46例)。根据病史、上腹部杂音的存在以及其他动脉受累的症状,可以推测腹部异常是血管源性的。主要诊断方法是血管造影,它可以识别和记录腹主动脉内脏分支的病变。

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