相关实验视频

Updated: Mar 9, 2026

Multimodality Diagnosis of Mesenteric Ischemia

Multimodality Diagnosis of Mesenteric Ischemia

Published on: July 21, 2023

血管干预的短期结果对于急性上层介质动脉栓塞的血管干预

Wenfei Guan¹, Yongpan Cui¹, Wuming Zhang¹

¹Department of Vascular Surgery, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Hubei, China; Hubei Key Laboratory of Ischemic Cardiovascular Disease, Yichang, China; Hubei Provincial Clinical Research Center for Ischemic Cardiovascular Disease, Yichang, China.

Annals of vascular surgery

|March 7, 2026

概括

升高的C反应蛋白 (CRP),白细胞计数 (WBC),肌酸激酶 (CK) 和反弹敏感性是急性上层介质动脉栓塞 (ASMAE) 患者肠道亡 (IN) 的关键指标. 早期发现和管理至关重要.

科学领域:

血管外科血管外科
胃肠病学胃肠病学
放射学放射学是一门学科.

背景情况:

急性上层中枢动脉栓塞 (ASMAE) 是一种需要及时干预的危急状况.
内血管治疗是ASMAE的主要治疗方式.
确定肠道亡 (IN) 的危险因素对于患者的治疗结果至关重要.

研究的目的:

在ASMAE中评估内血管治疗结果.
为了确定在ASMAE之后的IN的独立风险因素.
为ASMAE.提出一个分层管理策略.

主要方法:

54名ASMAE患者 (2019年11月至2024年12月) 临床数据的回顾性分析.
单变量和双项逻辑回归分析以确定IN的风险因素.
使用已识别的风险因素开发IN的预测模型.

主要成果:

与非IN组 (n=27) 相比,IN组 (n=27) 的WBC,CRP和CK水平显著更高.
多变量分析确定了CRP,WBC,CK和反弹敏感性作为IN的独立风险因素.
开发了一个预测模型:Log(P) = -7.922 + CRP × 0.025 + WBC × 0.181 + CK × 0.008 + 2.645 × (0/1).

结论:

CRP,WBC,CK和反弹敏感性是ASMAE中IN的重要预测因素.
建议采用分层管理方法,包括对可疑的IN进行快速腹腔镜检查.
这项研究为改善ASMAE风险分层和管理提供了一个框架.

关键词:

急性上层中枢动脉栓塞急性中枢动脉栓塞.诊断 - 治疗流程图血管内治疗血管内治疗肠道亡是指肠道亡.有关风险因素的风险因素.

更多相关视频

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery

Targeting the Rat's Small Bowel: Long-Term Infusion into the Superior Mesenteric Artery

Published on: April 8, 2021

相关概念视频

Peripheral Artery Disease V: Postoperative Nursing Management

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...