[1]吴清海.置管溶栓治疗急性肠系膜上动脉血栓栓塞[J].介入放射学杂志,2008,(02):92.
　WU Qinghai.Treatment of superior mesentery arterial embolism with transcatheterizing thrombolysis[J].journal interventional radiology,2008,(02):92.
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置管溶栓治疗急性肠系膜上动脉血栓栓塞()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年02期
页码:
92
栏目:
血管介入
出版日期:
2008-02-15

文章信息/Info

Title:
Treatment of superior mesentery arterial embolism with transcatheterizing thrombolysis
作者:
吴清海
２７６００３山东省临沂市人民医院血管外科
Author(s):
WU Qing－hai
Linyi Municipal People's Hospital，Linyi２７６００３，China
关键词:
肠系膜上动脉; 血栓; 放射学; 介入性; 血栓溶解疗法
分类号:
R５４３.５
文献标志码:
A
摘要:
目的探讨肠系膜上动脉（SMA）造影和血栓内置管溶栓治疗急性SMA血栓栓塞的应用价值。方法经股动脉穿刺置管造影明确诊断SMA血栓栓塞患者８例，取栓并将导管头端埋入血栓内溶栓，术后保留导管接微量泵继续缓慢溶栓。结果４例溶栓治疗成功；３例小肠坏死行部分小肠切除加端端吻合术，３例中２例痊愈，１例术后并发心力衰竭而死亡；１例消化道大出血死亡。结论血管造影可明确诊断SMA栓塞的位置和肠管缺血范围，早期血栓内置管取栓加溶栓可取得满意疗效。

参考文献/References:

［１］Boley SJ，Brandt LJ ，Sammartano RJ．History of mesenterie ischemia：the evoluton of a diagnosis and management ［J］．Surg Clin North Am，１９９７，７７：２７５－２８８．
［２］姜卫剑，李选，任安，等．脉冲－喷射溶栓治疗股、动脉阻塞［J］．中华放射学杂志，１９９６，３０：３０１－３０５．
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［５］蒋苏齐，刘兰庄，王占江，等．原发性髂股静脉血栓形成的彩色多普勒超声血流显像的探讨［J］．中国超声医学杂志，１９９８，１４：２３－２６．
［６］Dotter CT，Fosch J，Seaman AJ．Selective clot lysis with low－dose streptokinase［J］．Radiology，１９７４，１１１：３１．
［７］吴清海．下肢动脉血栓内置管加微量泵溶栓的应用［J］．宁夏医学杂志，２００５，２７：３８１－３８２．
［８］董和平，魏立平，张勇．急性肠系膜上动脉血栓形成介入治疗３例［J］．中国普通外科杂志，２００３，１２：２３２－２３３．

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备注/Memo

备注/Memo:
收稿日期：２００７－０４－２８
更新日期/Last Update: 2008-02-15