健康之路
健康之路
건강지로
HEALTH
2014年
7期
403-403
,共1页
肠系膜动脉%栓塞%高血压%心房纤颤%冠状动脉粥样硬化性心脏病
腸繫膜動脈%栓塞%高血壓%心房纖顫%冠狀動脈粥樣硬化性心髒病
장계막동맥%전새%고혈압%심방섬전%관상동맥죽양경화성심장병
Mesentericartery%Embolism%Hypertension Atrial fibril ation%Coronary atheroscleroticheart disease
肠系膜上动脉栓塞是指他处脱落的各种栓子经血液循环至肠系膜上动脉并滞留其末端，导致该动脉供血障碍，供血肠管发生急性缺血性坏死。多数病人有可形成动脉栓子的心脏病史，如心肌梗死后形成心肌室壁瘤、房性心律失常、风湿性瓣膜疾病、主动脉粥样硬化等病史。本病发生急骤，突发剧烈腹痛，伴有频繁呕吐。初期时腹痛症状和体征不相符，腹痛剧烈而腹部体征轻微。当病人出现血性水样物呕吐，或腹泻出暗红色血便时，腹痛症状减轻，但却出现腹部压痛、反跳痛、腹肌紧张、肠鸣音弱转之消失。随病程进展，病人可出现周围循环衰竭的征象。本文介绍1例不典型肠系膜动脉栓塞。
腸繫膜上動脈栓塞是指他處脫落的各種栓子經血液循環至腸繫膜上動脈併滯留其末耑，導緻該動脈供血障礙，供血腸管髮生急性缺血性壞死。多數病人有可形成動脈栓子的心髒病史，如心肌梗死後形成心肌室壁瘤、房性心律失常、風濕性瓣膜疾病、主動脈粥樣硬化等病史。本病髮生急驟，突髮劇烈腹痛，伴有頻繁嘔吐。初期時腹痛癥狀和體徵不相符，腹痛劇烈而腹部體徵輕微。噹病人齣現血性水樣物嘔吐，或腹瀉齣暗紅色血便時，腹痛癥狀減輕，但卻齣現腹部壓痛、反跳痛、腹肌緊張、腸鳴音弱轉之消失。隨病程進展，病人可齣現週圍循環衰竭的徵象。本文介紹1例不典型腸繫膜動脈栓塞。
장계막상동맥전새시지타처탈락적각충전자경혈액순배지장계막상동맥병체류기말단，도치해동맥공혈장애，공혈장관발생급성결혈성배사。다수병인유가형성동맥전자적심장병사，여심기경사후형성심기실벽류、방성심률실상、풍습성판막질병、주동맥죽양경화등병사。본병발생급취，돌발극렬복통，반유빈번구토。초기시복통증상화체정불상부，복통극렬이복부체정경미。당병인출현혈성수양물구토，혹복사출암홍색혈편시，복통증상감경，단각출현복부압통、반도통、복기긴장、장명음약전지소실。수병정진전，병인가출현주위순배쇠갈적정상。본문개소1례불전형장계막동맥전새。
The superior mesenteric artery embolism refers to various emboli elsewhere via the blood circulation to the shedding of the superior mesenteric artery and stuck to its end,causing the artery disorder,acute ischemic bowel necrosis.Most patients have a history of heart disease with arterial embolican,such as cardiac aneurysm formation after myocardial infarction,atrial arrhythmias,rheumatic heart disease,aortic athero sclerosisand other medical history.This disease abrupt,sudden severe abdominal pain,often accompanied by frequent vomiting.Abdominal symptoms and signs do not match the early,severe abdominal pain and signs of mild.When patients have bloody watery substance vomiting,or a dark red bloody diarrhea,abdominal pain and symptom relief,but abdominal tenderness,rebound tenderness,muscle tension,bowel sounds weak to disappear.As the disease progresses,peripheral circulatory failure may occur.This article describes one case of atypical performance superior mesenteri cart-ery embolization.
