Diagnostic and therapeutic analysis of acute mesenteric ischemia: A report of 102 cases

VernacularTitle:急性肠系膜缺血102例诊治分析
Author: Jianyong LIU ¹ ; Weikang ZHANG
Author Information

1. 华中科技大学同济医学院协和医院血管外科
Keywords: mesentery; ischemia; diagnosis; therapy
From: Journal of Clinical Surgery 2017;25(9):665-667
CountryChina
Language:Chinese
Abstract: Objective To conclude the diagnostic and therapeutic experience for acute mesenter ic ischemia(AMI).Methods Clinical data of 102 AMI patients were analyzed retrospectively.The curative effect of conservative management,endovascular treatment and open surgery were evaluated.All patients were treated with anticoagulation,vasodilator,thrombolysis after the diagnosis was made.17 cases were relieved by simple medical therapy.The other 85 patients had no obvious effect within 48 hours after conservative treatment.Of the 63 cases undergone endovascular treatment,58 were relieved.Among other 7 unrelieved cases,2 of them gave up treatment and 5 patients were turned to open surgery.The left 22 cases were converted to open surgery directly.Results Of all 102 cases,92 patients were relieved completely,5 patients were turned to chronic intestinal dysfunction.3 patients died in hospital and 2 patients lost follow-up.Conclusion AMI is a potentially fatal vascular emergency.Early diagnosis by CTA and revascularization of intestine without delay is the pivotal management.Endovascular treatment is the preferred therapeutic options.