【摘要】 目的:探讨孤立性肠系膜上动脉夹层的保守治疗的可行性。方法:回顾性分析笔者所在科室2015年4月-2017年3月收治的8例孤立性肠系膜上动脉夹层患者。所有患者均经检查腹部CTA确诊为孤立性肠系膜上动脉夹层,入院后予以卧床休息、禁食禁水、胃肠减压、营养支持、抑制胃酸及胰酶、抗凝、扩张血管等保守治疗。结果:7例经保守治疗有效,仅1例经保守治疗后出现腹胀且肠鸣音明显减弱,及时行血管腔内手术治疗后缓解。结论:保守治疗对多数孤立性肠系膜上动脉夹层是有效的,治疗过程中应密切注意观察,症状或体征未缓解,应及时行血管腔内治疗或开放手术治疗。更多还原

【Abstract】 Objective:To investigate feasibility of conservative treatment on isolated superior mesenteric artery dissection.Method:The clinical data of 8 patients with isolated superior mesenteric artery dissection from April 2015 to March 2017 were retrospectively analyzed.All patients underwent CTA examination,and were given conservative treatment,including bed rest,absolute fasting,gastrointestinal decompression,nutrition support,inhibiting gastric acid and pancreatin secretion,anticoagulation,expanding blood vessel.Result:7 cases with relief of symptoms,but 1 case needed endovascular treatment,because of abdominal distention and weakened bowel sounds.Conclusion:Conservative treatment was effective for most of patients with isolated superior mesenteric artery dissection.Close observation shall be conducted in the course of treatment. If symptoms or signs are not relieved,endovascular treatment or open surgery shall be conducted in time.更多还原