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題 名 | Clinical Manifestations of Ischemic Bowel Disease=53例缺氧性腸病變的臨床報告 |
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作 者 | 李昭德; 廖為博; 江正文; 蕭政廷; 陳進明; 周義; 林忠順; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷 期 | 10:1 1999.03[民88.03] |
頁 次 | 頁11-18 |
分類號 | 415.47 |
關鍵詞 | 缺氧性腸病變; 糖尿病; 心房纖維顫動; 動態腹部電腦斷層攝影; Ischemic bowel disease; Atrial fibrillation; Diabetes mellitus; Abdominal CT; |
語 文 | 英文(English) |
中文摘要 | 對臨床醫師而言,缺氧性腸病變是一大考驗;若沒有早期診斷出來,常因腸子迅速的壞死而導致高死亡率。然而若要早期診斷出缺氧性腸病變,必須認知那些疾病是其促發因子。我們檢閱了53例最終診斷為缺氧性腸病變之病例;其中有48例是上腸繫膜動脈缺氧性病變,有5例是上腸繫膜靜脈缺氧性病變,這些病患的平均年齡為68±8.4歲。而動脈缺氧性腸病變常見的促發因子有(1)造成動脈粥狀樣狹窄的疾病,如糖尿病;(2)心律不整:心房纖維顫動或其他的心律不整;(3)低血流狀況,如心臟衰竭敗血症、上腸骨道出血、開刀後或腹部外傷等。靜脈缺氧性腸病變則常見於過度凝血狀態或靜脈壓力太高的狀態,本院的病人則以糖尿病(57%)及心房纖維顫動(38%)最常見,缺氧性腸病變的診斷以血管攝影最準確;而動態腹部電腦斷層攝影亦有所幫忙,尤其當腸壁或肝門靜脈出現氣體時,死亡率高達100%;本文統計此類病人的平均存活率為30%(16/53),有13個病人是上腸膜動脈阻塞,有3個病人是上腸膜靜脈阻塞,而這些存活的病人中,上腸繫膜動脈阻塞之病患接受開刀的時間平均為2天(分佈1-3天),上腸繫膜靜脈阻塞之病患接受開刀的時間則分佈4-60天。至於抽血的檢查常要到疾病的末期才有確切的變化,所以較無統計學的意義,所以對於本疾病唯有早期懷疑和早期診斷,並加以手術治療,才能提高病人的存活率。 |
英文摘要 | For emergency physician, it is important to recognize the presentation of ischemic bowel disease, especially in the elderly, which can be confused with some other life-threatening bowel diseases. The mortality rate ranged from 70 to 90%. Few diseases result in such high mortality rate. We retrospectively studied 53 patients with ischemic bowel disease from 1993 January to 1997 December. Forty-eight patients were superior mesenteric artery(SMA) ischemia and 5 were superior mesenteric vein(SMV) ischemia. The mean age(±SD) was 68.0±8.4 years old. The most important risk factors were diabetes mellitus(57%) and atrial fibrillation(38%). The survival rate was about 30%(16/53): 13 patients had SMA occlusion and 3 patients had SMV occlusion. Once intramural or portal vein gas was detected by abdominal computed tomography(CT), the mortality rate was 100%. The average time from abdominal pain to receiving operation for SMA occlusion survivors was 2 days(ranged from 1 to 3 days) and that for SMV occlusion survivors was more longer(mean: 18 days; ranged from 4 days to 60 days). |
本系統中英文摘要資訊取自各篇刊載內容。