105Cases Of Acute Mesenteric Arteries Thrombosis Early Clinical Diagnosis And Analysis

Objective:To analysis of the early clinical diagnosis and treatment ofacute mesentericartery thrombosis.Methods: a retrospective analysis of105cases of acute mesentericartery thrombosis from2003January to2013December werepatients.According to different treatment group,105patients of emergencylaparotomy surgery group cases of55cases, interventional catheterthrombolysis group of38cases,12cases of conservative treatmentgroup.Surgery patients in different groups according to the course of time,duration less than6hours a group of74cases of patients, duration is morethan6hours group of19cases of patients.Results: The43cases of bowel ischemia state in traditional surgerygroup is lighter, bowel peristalsis, association with no necrosis, who shouldForgaty catheter thrombosis.Traditional surgery group of12cases withbowel necrosis thrombus take out and necrotic bowel resection andanastomosis of intestinal canal.Interventional thrombolysis group in32patients after surgery, symptoms gradually improved, significantly reduce abdominal pain symptoms, interventional thrombolysis group of6patientsafter catheter thrombolysis, that no obvious relieve abdominal painsymptoms, symptoms of peritonitis.Secondary laparotomy surgery, we seein the abdominal cavity, a large number of effusion insufflate bloodsupply status is poor,that finally also is thrombosis, and resection ofnecrotic bowel loops at the same time.Conservative treatment group givenbanned from food, drink and anticoagulation, thrombolysis and othersymptomatic treatment.Duration less than6hours of1patients and thecourse of more than6hours of patients, after traditional surgical orinterventional thrombolytic therapy, the treatment is invalid and death.14deaths,105patients with traditional surgery group5patients died, themortality rate9.1%, interventional surgery group2patients died, mortalitywas5.3%,58.3%mortality rate of conservative treatment group.Totalmortality was13.3%.Surgery patients, the clinical course is less than6hours in the group1patients died, the mortality was1.4%, the duration ismore than6hours of six deaths in patients group, mortality was31.5%.Conclusion: Early diagnosis and timely intervention or laparotomyisthe key to improve the curative effect of mesenteric artery thrombosis.