摘要目的 探讨急性肠系膜缺血性疾病的临床特点及其诊断和治疗方法.方法 回顾性分析15例急性肠系膜缺血性疾病患者的临床资料.结果 14例行手术治疗,9例存活,5例死亡;保守治疗1例成活.结论 选择性血管造影对早期诊断急性肠系膜缺血性疾病有重要临床意义,早期切除坏死肠管及术后抗凝治疗是防止复发、降低死亡率的有效措施.

abstractsObjective To investigate the clinical features, diagnosis and treatment of acute mesenteric isehe-mic disease. Methods Clinical data of 15 patients with acute mosenteric ischemic disease were analyzed retrospective-ly. Results Operation was performed on 14 patients and 1 patient received conservative treatment, 9 cases recovered and 5 died postoperatively. Conclusion Color ultrasound and selective angiography are effective examinations for early diagnosis of acute mesenterie ischemic disease. Early resection of necrotic bowel and application of anticoagulant post-operatively are effective to reduce the mortality. Conservative treatment is still effective for elective patient.