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与中大动脉综合征相关的肠道阻塞:一个病例报告
Chen Wang1, Yu Chen1, Yuqiang Tang1
1Department of General Surgery, The Second Affiliated Hospital, Dalian Medical University, China.
The Journal of international medical research
|February 5, 2026
概括
本案例研究详细介绍了一个老年男性中部大动脉综合征 (MAS) 的罕见病例,表现为肠道阻塞. 成功的治疗涉及血管重建,强调了识别老年患者MAS的重要性.
科学领域:
- 心脏病学 心脏病学
- 血管外科 血管外科
- 胃肠病学 胃肠病学
背景情况:
- 中大动脉综合征 (MAS) 是一种罕见的疾病,其特点是大动脉段的狭窄.
- MAS通常与其他血管异常有关,并可能导致严重的并发症.
- 高的动脉炎是MAS的已知原因,特别是在年轻人中.
研究的目的:
- 报告一位老年男性患者中发生的一例中主动脉综合征 (MAS).
- 为了说明诊断挑战和管理策略,MAS呈现为肠道阻塞.
- 强调在老年人无法解释的腹部症状的差异诊断中考虑MAS的重要性.
主要方法:
- 一个70多岁的男性患者的病例报告呈现了肠道阻塞的症状.
- 诊断工作包括增强的计算机断层扫描 (CT) 和血管重建.
- 治疗涉及初始的鼻肠道导管,然后是最终的血管重建.
主要成果:
- 该患者被诊断患有中大动脉综合征 (MAS),这是高山的动脉炎的次要症状,导致腹部远部大动脉封闭.
- 肠道阻塞是MAS的次要表现,最初通过导管治疗得到缓解,但复发.
- 血管重建成功地解决了阻塞,仅在术后由于饮食不谨慎而出现一次复发.
结论:
- 中动脉综合征 (MAS) 是一种罕见但至关重要的诊断,即使在老年患者中也是如此.
- 及时识别和适当的血管干预对于管理MAS诱导的肠道阻塞至关重要.
- 这一案例强调了需要提高对MAS的认识和知识交流,以改善临床结果.
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