经手术及血管造影证实的急性肠系膜上动脉栓塞66例临床分析

Guanyi Liao
{"title":"经手术及血管造影证实的急性肠系膜上动脉栓塞66例临床分析","authors":"Guanyi Liao","doi":"10.3760/CMA.J.ISSN.0254-1432.2019.02.007","DOIUrl":null,"url":null,"abstract":"Objective \nTo explore the clinical manifestation, treatment and prognosis of patients with acute superior mesenteric artery embolism (ASMAE). \n \n \nMethods \nFrom October 2012 to March 2018, the clinical data of 66 patients with ASMAE who were admitted to The First Affiliated Hospital of Chongqing Medical University were collected and retrospectively analyzed. The patients were divided into the death group and the survival group according to whether they died during hospitalization. The clinical features, the time of diagnosis and treatment methods of two groups were compared. T-test and chi-square test were performed for statistical analysis. \n \n \nResults \nAmong 66 ASMAE patients, 16 were in the death group and 50 in the survival group. The age of the death group was (75.6±9.9) years, which was greater than that of the survival group ((68.1±13.2) years), and the difference was statistically significant (t=1.998, P=0.041). Among 16 dead patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 0, 14, 9, 9 and 16, respectively. However, among 50 survival patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 15 (30.0%), 30 (60.0%), 14 (28.0%), 14 (28.0%) and 36 (72.0%), respectively. The differences between two groups were all statistically significant (χ2=4.621, 4.125, 4.261, 4.261 and 4.134, all P<0.05). \n \n \nConclusions \nWhen sudden severe abdominal pain occurs in elderly patients with atrial fibrillation, ASMAE should be alerted. Early (less than six hours) and correct diagnosis can improve the prognosis of the ASMAE patients. \n \n \nKey words: \nAtrial fibrillation; Risk factors; Mortality; Superior mesenteric artery embolism","PeriodicalId":10009,"journal":{"name":"中华消化杂志","volume":"10 1","pages":"111-114"},"PeriodicalIF":0.0000,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical analysis of 66 cases of acute superior mesenteric artery embolism confirmed by surgery and angiography\",\"authors\":\"Guanyi Liao\",\"doi\":\"10.3760/CMA.J.ISSN.0254-1432.2019.02.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Objective \\nTo explore the clinical manifestation, treatment and prognosis of patients with acute superior mesenteric artery embolism (ASMAE). \\n \\n \\nMethods \\nFrom October 2012 to March 2018, the clinical data of 66 patients with ASMAE who were admitted to The First Affiliated Hospital of Chongqing Medical University were collected and retrospectively analyzed. The patients were divided into the death group and the survival group according to whether they died during hospitalization. The clinical features, the time of diagnosis and treatment methods of two groups were compared. T-test and chi-square test were performed for statistical analysis. \\n \\n \\nResults \\nAmong 66 ASMAE patients, 16 were in the death group and 50 in the survival group. The age of the death group was (75.6±9.9) years, which was greater than that of the survival group ((68.1±13.2) years), and the difference was statistically significant (t=1.998, P=0.041). Among 16 dead patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 0, 14, 9, 9 and 16, respectively. However, among 50 survival patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 15 (30.0%), 30 (60.0%), 14 (28.0%), 14 (28.0%) and 36 (72.0%), respectively. The differences between two groups were all statistically significant (χ2=4.621, 4.125, 4.261, 4.261 and 4.134, all P<0.05). \\n \\n \\nConclusions \\nWhen sudden severe abdominal pain occurs in elderly patients with atrial fibrillation, ASMAE should be alerted. Early (less than six hours) and correct diagnosis can improve the prognosis of the ASMAE patients. \\n \\n \\nKey words: \\nAtrial fibrillation; Risk factors; Mortality; Superior mesenteric artery embolism\",\"PeriodicalId\":10009,\"journal\":{\"name\":\"中华消化杂志\",\"volume\":\"10 1\",\"pages\":\"111-114\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2019-02-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"中华消化杂志\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.3760/CMA.J.ISSN.0254-1432.2019.02.007\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"中华消化杂志","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.3760/CMA.J.ISSN.0254-1432.2019.02.007","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的探讨急性肠系膜上动脉栓塞(ASMAE)的临床表现、治疗及预后。方法收集2012年10月至2018年3月重庆医科大学第一附属医院收治的66例ASMAE患者的临床资料进行回顾性分析。根据住院期间是否死亡分为死亡组和生存组。比较两组患者的临床特点、诊断时间及治疗方法。采用t检验和卡方检验进行统计学分析。结果66例ASMAE患者中,死亡组16例,生存组50例。死亡组患者年龄为(75.6±9.9)岁,高于生存组患者年龄(68.1±13.2)岁,差异有统计学意义(t=1.998, P=0.041)。16例死亡患者中,诊断时间小于6小时、并发心房颤动、腹膜刺激征、肠音减弱或消失、并发全身炎症反应综合征的病例数分别为0例、14例、9例、9例和16例。而在50例存活患者中,诊断时间小于6小时、并发心房颤动、腹膜刺激征、肠音减弱或消失、并发全身炎症反应综合征的病例数分别为15例(30.0%)、30例(60.0%)、14例(28.0%)、14例(28.0%)和36例(72.0%)。两组间差异均有统计学意义(χ2=4.621、4.125、4.261、4.261、4.134,P均<0.05)。结论老年房颤患者发生突发性剧烈腹痛时,应引起ASMAE的注意。早期(小于6小时)和正确诊断可改善ASMAE患者的预后。关键词:心房颤动;风险因素;死亡率;肠系膜上动脉栓塞
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical analysis of 66 cases of acute superior mesenteric artery embolism confirmed by surgery and angiography
Objective To explore the clinical manifestation, treatment and prognosis of patients with acute superior mesenteric artery embolism (ASMAE). Methods From October 2012 to March 2018, the clinical data of 66 patients with ASMAE who were admitted to The First Affiliated Hospital of Chongqing Medical University were collected and retrospectively analyzed. The patients were divided into the death group and the survival group according to whether they died during hospitalization. The clinical features, the time of diagnosis and treatment methods of two groups were compared. T-test and chi-square test were performed for statistical analysis. Results Among 66 ASMAE patients, 16 were in the death group and 50 in the survival group. The age of the death group was (75.6±9.9) years, which was greater than that of the survival group ((68.1±13.2) years), and the difference was statistically significant (t=1.998, P=0.041). Among 16 dead patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 0, 14, 9, 9 and 16, respectively. However, among 50 survival patients, the case numbers of diagnosis time less than six hours, complicated with atrial fibrillation, peritoneal irritation sign, weakened or disappeared bowel sounds and complicated with systemic inflammatory response syndrome were 15 (30.0%), 30 (60.0%), 14 (28.0%), 14 (28.0%) and 36 (72.0%), respectively. The differences between two groups were all statistically significant (χ2=4.621, 4.125, 4.261, 4.261 and 4.134, all P<0.05). Conclusions When sudden severe abdominal pain occurs in elderly patients with atrial fibrillation, ASMAE should be alerted. Early (less than six hours) and correct diagnosis can improve the prognosis of the ASMAE patients. Key words: Atrial fibrillation; Risk factors; Mortality; Superior mesenteric artery embolism
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
8016
期刊介绍:
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信