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[肠系膜上动脉闭塞。8例的血管造影研究及外科治疗]

[Occlusion of the upper mesenteric artery. Angiographic study and surgical treatment of 8 cases].

作者信息

Simi A C

出版信息

Arq Gastroenterol. 1980 Apr-Jun;17(2):73-80.

PMID:7213140
Abstract

Eight patiants suffering from abdominal angina due to chronic intestinal ischemia have been submitted to angiographic examination and revascularization of superior mesenteric artery (SMA). All had the classical symptoms of postprandial pain, weight loss and abnormalities of the stools. The surgical procedure of choice was bypass from abdominal aorta to SMA. The reimplantion of SMA was performed in 2 cases. The results was good in 87,5% of cases. The mortality in acute intestinal ischemia is high, and 50% of such patients have previous attacks of abdominal angina. If the diagnosis is established by engiography, the revascularization should be performed.

摘要

8例因慢性肠缺血导致腹部绞痛的患者接受了血管造影检查及肠系膜上动脉(SMA)血运重建术。所有患者均有餐后疼痛、体重减轻及大便异常等典型症状。首选的手术方式是从腹主动脉到SMA的旁路移植术。2例患者进行了SMA再植术。87.5%的病例效果良好。急性肠缺血的死亡率很高,50%的此类患者既往有腹部绞痛发作史。如果通过血管造影确诊,应进行血运重建术。

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