| 傅积薪 李世宽 王东飞 李元博 彭新刚 吴昌亮 周岩冰.非闭塞性肠系膜缺血致肠坏死的临床分析(附11 例报道)[J].,2014,14(11):2110-2114 |
| 非闭塞性肠系膜缺血致肠坏死的临床分析(附11 例报道) |
| Clinical Analysis of Necrotizing Enterocolitis Caused by Non-occlusiveMesenteric Ischemia(Reports of 11 cases)* |
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| DOI： |
| 中文关键词: 非闭塞性肠系膜缺血 肠坏死 临床分析 |
| 英文关键词: Non-occlusive mesenteric ischemia Necrotizing enterocolitis Clinical analysis |
| 基金项目:国家自然科学基金项目(81270449) |
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| 中文摘要: |
| 目的：探讨非闭塞性肠系膜缺血所致肠坏死的临床表现和结局。方法：回顾性总结青岛大学附属医院11 例非闭塞性肠系膜
缺血所致肠坏死的病例，评估分析其临床表现、实验室检查、腹部CT 影像和手术过程。结果：所有病人均在全麻下行剖腹探查术，
实施肠管切除术并一期吻合术或肠造口术，7例病人恢复良好，2例住院期间死亡，2 例放弃治疗回家后死亡。结论：非闭塞性肠系
膜缺血临床罕见，术前难以诊断，具有较高的病死率，血管造影可以作为NOMI 早期诊断及治疗的有效手段，对于怀疑有肠坏死
发生的患者需及早行手术治疗。 |
| 英文摘要: |
| Objective: To explore the clinical manifestation and outcome of acute intestinal necrosis caused by non-occlusive
mesenteric ischemia(NOMI).Methods:Retrospective case record reviews of 11 patients who suffered from necrotizing enterocolitis cause
by NOMI in the Affiliated Hospital of Qingdao University were undertaken. The clinical manifestation, laboratory findings, abdominal
CT imaging and surgical procedures were evaluated and analyzed. Results:All patients underwent exploratory laparotomy under general
anesthesia. Bowel resection with primary anastomosis or enterostomy was performed. 7 patients had a good recovery, while 2 patients
died during hospital stay and 2 patients died at home due to abandoning treatment. Conclusion:NOMI was a rare condition which was
difficult to diagnose preoperatively and had a high mortality rate. Angiography could be used as an effective method for the early diagnosis
and treatment of NOMI. Early surgical intervention should be considered in case of suspected bowel necrosis. |
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