实用医学杂志2023，Vol.39Issue(24)：3153-3157,5.DOI:10.3969/j.issn.1006-5725.2023.24.001
心脏外科术后非闭塞性肠系膜缺血的发生机制及诊疗进展
The mechanisms and the diagnosis progress of non-obstructive mesenteric ischemia after cardiac surgery
摘要
Abstract
Non-occlusive mesenteric ischemia(NOMI)is a series of disorders of digestive tract caused by local blood perfusion damage,which is caused by vasospasm.As an extremely dangerous disease,NOMI is also a common intestinal complication in intensive care unit,especially in patients with hemodynamic instability after cardiac surgery,and the mortality is high.Cardiac surgery aims to improve the prognosis of patients,while the complication of NOMI is easy to be ignored,which hindered the recovery of postoperative patients.Due to the rapid development and lack of specific symptoms and signs,NOMI is easily misdiagnosed as other gastrointestinal complications.Therefore,timely and effective diagnosis of NOMI is the most important factor affecting the prognosis of post cardiac surgery.This review systematically summarized the related research on NOMI after cardiac surgery,and comprehensively concluded the cause,mechanism,treatment as well as prognosis of NOMI.Then we emphasized on the latest progresses of diagnostic methods for NOMI,in order to provide directions on the accurate identification and timely intervention of NOMI in clinical work.关键词
非阻塞性肠系膜缺血/心脏外科手术/并发症/诊断手段Key words
non-obstructive mesenteric ischemia/cardiac surgery/complication/diagnostic methods分类
医药卫生引用本文复制引用
赵迎静,沈骁,洪亮,章淬..心脏外科术后非闭塞性肠系膜缺血的发生机制及诊疗进展[J].实用医学杂志,2023,39(24):3153-3157,5.基金项目
国家自然科学基金项目(编号:82372217) （编号:82372217）
南京市医学重点科技发展项目(编号:ZKX19021) （编号:ZKX19021）
