The mechanisms and the diagnosis progress of non-obstructive mesenteric ischemia after cardiac surgery
10.3969/j.issn.1006-5725.2023.24.001
- VernacularTitle:心脏外科术后非闭塞性肠系膜缺血的发生机制及诊疗进展
- Author:
Yingjing ZHAO
1
;
Xiao SHEN
;
Liang HONG
;
Cui ZHANG
Author Information
1. 南京医科大学附属南京医院(南京市第一医院)重症医学科(南京 210006)
- Keywords:
non-obstructive mesenteric ischemia;
cardiac surgery;
complication;
diagnostic methods
- From:
The Journal of Practical Medicine
2023;39(24):3153-3157
- CountryChina
- Language:Chinese
-
Abstract:
Non-occlusive mesenteric ischemia(NOMI)is a series of disorders of digestive tract caused by local blood perfusion damage,which is caused by vasospasm.As an extremely dangerous disease,NOMI is also a common intestinal complication in intensive care unit,especially in patients with hemodynamic instability after cardiac surgery,and the mortality is high.Cardiac surgery aims to improve the prognosis of patients,while the complication of NOMI is easy to be ignored,which hindered the recovery of postoperative patients.Due to the rapid development and lack of specific symptoms and signs,NOMI is easily misdiagnosed as other gastrointestinal complications.Therefore,timely and effective diagnosis of NOMI is the most important factor affecting the prognosis of post cardiac surgery.This review systematically summarized the related research on NOMI after cardiac surgery,and comprehensively concluded the cause,mechanism,treatment as well as prognosis of NOMI.Then we emphasized on the latest progresses of diagnostic methods for NOMI,in order to provide directions on the accurate identification and timely intervention of NOMI in clinical work.
