Acute intestinal ischaemia.

作者: Guntram Lock

DOI: 10.1053/BEGA.2000.0157

关键词: Physical examinationAngiographyRadiologyDifferential diagnosisThrombosisPathophysiologyEmbolusChemotherapyInternal medicineCardiologyIschemiaMedicine

摘要: The subsets of acute mesenteric ischaemia include arterial occlusion (by embolus or thrombosis), venous thrombosis and non-occlusive ischaemia. Despite advances in pathophysiology, laboratory diagnosis imaging techniques, is still associated with mortality rates more than 60% continues to be a challenging diagnostic problem. key better outcome (and the main problem clinical practice) early diagnosis. Clinical presentation may unspecific, but often characterized by an initial discrepancy between severe subjective pain relatively unspectacular findings on physical examination. Up now, there are no simple non-invasive tests sufficient sensitivity specificity; thus, angiography remains cornerstone should performed all patients which realistic differential Treatment for obstructive syndromes most surgical, whereas managed pharmacological vasodilation.

参考文章(46)
C B Sudhakar, J D MacArthur, M Al-Hakeem, B E Sumpio, Mesenteric Ischemia Secondary to Cocaine Abuse: Case Reports and Literature Review The American Journal of Gastroenterology. ,vol. 92, pp. 1053- 1054 ,(1997)
D Durand, B M Taylor, M Troster, W G Jamieson, The significance of urine phosphate measurements in the early diagnosis of intestinal infarction. Surgery gynecology & obstetrics. ,vol. 148, pp. 334- 338 ,(1979)
Ellen L. Wolf, Seymour Sprayregen, Curtis W. Bakal, Radiology in intestinal ischemia. Plain film, contrast, and other imaging studies. Surgical Clinics of North America. ,vol. 72, pp. 107- 124 ,(1992) , 10.1016/S0039-6109(16)45630-6
Kurt Gutzeit, Hans Erhard Bock, Hans Hartmut Peter, Rudolf Cobet, Klinik der gegenwart Urban & Schwarzenberg. ,(1998)
Scott J. Boley, Ronald N. Kaleya, Lawrence J. Brandt, Mesenteric venous thrombosis. Surgical Clinics of North America. ,vol. 72, pp. 183- 201 ,(1992) , 10.1016/S0039-6109(16)45634-3
Schölmerich J, Lock G, Non-occlusive mesenteric ischemia. Hepato-gastroenterology. ,vol. 42, pp. 234- 239 ,(1995)
E M Danse, B E Van Beers, P Goffette, A N Dardenne, P F Laterre, J Pringot, Acute intestinal ischemia due to occlusion of the superior mesenteric artery: detection with Doppler sonography. Journal of Ultrasound in Medicine. ,vol. 15, pp. 323- 326 ,(1996) , 10.7863/JUM.1996.15.4.323
W. R. Kukovetz, G. P�ch, Inhibition of cyclic-3',5'-nucleotide-phosphodiesterase as a possible mode of action of papaverine and similarly acting drugs. Naunyn-Schmiedebergs Archiv f�r Pharmakologie. ,vol. 267, pp. 189- 194 ,(1970) , 10.1007/BF00999402
Louis D. May, Malcolm M. Berenson, Value of serum inorganic phosphate in the diagnosis of ischemic bowel disease The American Journal of Surgery. ,vol. 146, pp. 266- 268 ,(1983) , 10.1016/0002-9610(83)90388-4
Alain Rahmouni, Didier Mathieu, Mondher Golli, Philippe Douek, Marie Christine Anglade, Hubert Caillet, Norbert Vasile, Value of CT and sonography in the conservative management of acute splenoportal and superior mesenteric venous thrombosis Abdominal Imaging. ,vol. 17, pp. 135- 140 ,(1992) , 10.1007/BF01888529