临床误诊误治2016，Vol.29Issue(12)：21-23,3.DOI:10.3969/j.issn.1002-3429.2016.12.009
慢性肠系膜上动脉狭窄（闭塞）14例误诊讨论
Misdiagnosis Analysis of 14 Patients with Chronic Superior Mesenteric Artery Stenosis or Occlusion
摘要
Abstract
Objective To investigate clinical features of chronic superior mesenteric artery ( SMA) stenosis or occlu-sion in order to avoid misdiagnosis and mistreatment. Methods Clinical data of 14 misdiagnosed patients with chronic SMA stenosis or occlusion admitted during August 2006 and November 2015 was retrospectively analyzed. Results All the 14 pa-tients visited doctors for different degrees of upper abdomen discomfort or pain, and were ever misdiagnosed as having chronic cholecystitis, upper gastrointestinal ulcer and malignant tumors. SMA stenosis or occlusion was confirmed by abdominal vascu-lar ultrasonography, CT angiography and magnetic resonance angiography (MRA). Interventional or operative therapy and postoperative anti-platelet aggregation treatments were given for all the patients, and the patients were discharged after condi-tions had improved. During 6-35 months of follow-up, all the patients had significant relief of symptoms and signs, and diet gradually returned to normal, But 1 patient died of myocardial infarction 32 months after operation, and the patient had no ab-dominal pain during his survival period. Conclusion Patients with postprandial upper abdomen discomfort and loss of weight, which are inconsistent with signs of abdominal symptoms, the SMA stenosis or occlusion should be taken into account. Related examinations should be performed as quickly as possible in order to avoid or decrease misdiagnosis.关键词
肠系膜血管闭塞/肠系膜动脉/误诊/胆囊炎/消化性溃疡/慢性胃炎Key words
Mesenteric vascular occlusion/Mesenteric arteries/Misdiagnosis/Cholecystitis/Peptic ulcer/Gastritis, chronic分类
医药卫生引用本文复制引用
宋盛晗,张望德,原标,杨宝钟,李谈,廖传军..慢性肠系膜上动脉狭窄（闭塞）14例误诊讨论[J].临床误诊误治,2016,29(12):21-23,3.基金项目
中国医药卫生事业发展基金(20101212) （20101212）
