【摘要】 目的分析和总结急性肠系膜上动脉缺血性疾病(ASMAI)的临床特点和诊治经验。方法采用回顾性队列研究,收集总结重庆医科大学附属第一医院血管外科2013年1月至2016年9月收治的108例ASMAI患者的临床资料(血栓形成、夹层、栓塞和动脉瘤四个类型),分析病例特点、治疗方法和效果。结果 58例患者接受开放或腔内手术治疗,50例接受药物保守治疗,治疗总有效率87.04%。动脉血栓形成、动脉夹层、动脉瘤组的手术治疗和药物治疗有效率差异无统计学差异,动脉栓塞组两种方法差异有统计学差异。结论及时有效干预ASMAI是避免肠管坏死和挽救患者生命的关键;不同的患者治疗方法有一定差异,需注意个体化治疗。更多还原

【Abstract】 Objective To analyze and summarize the clinical characteristics, diagnosis and treatment experience of acute superior mesenteric arterial ischemic(ASMAI). Methods Retrospective cohort study was used to review the 108 cases of ASMAI(including arterial thrombosis, arterial embolism, arterial dissection and aneurysm) in the First Affiliated Hospital of Chongqing Medical University from January 2013 to September 2016. The clinical data were analyzed in the characteristics of the cases, the special performance in the diagnosis and treatment process. Results Fifty-eight patients received open or endovascular surgery,while another 50 patients received conservative treatment. The total effective rate of treatment was 87.04%.Differences between surgery and conservative treatment were non-significant in arterial thrombosis, arterial dissection and aneurysm group. There was significant difference in arterial embolism. Conclusion Prompt and effective therapy for ASMAI is key to prevent intestinal necrosis and save patients ’ life. Treatment for different patients can be variant, and individualized therapy should be offered.更多还原