电邮这篇文章 脊柱畸形矫正后的肠系膜上动脉综合征
- 作者: Strelnikova A.S.1, Kozyrev A.S.1, Vissarionov S.V.1, Kartavenko K.A.1, Murashko V.V.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 7, 编号 4 (2019)
- 页面: 105-112
- 栏目: Clinical cases
- URL: https://journal-vniispk.ru/turner/article/view/15738
- DOI: https://doi.org/10.17816/PTORS74105-112
- ID: 15738
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详细
论证：肠系膜上动脉综合征（superior mesenteric artery syndrome）是罕见的病理，由上肠系膜动脉异常偏离腹主动脉引起，导致十二指肠远端被压缩在主动脉与上肠系膜动脉之间，临床表现为急性肠梗阻：上腹部疼痛、恶心、大量呕吐。在缺乏及时治疗的情况下，患者可能会出现电解质紊乱、严重的营养不足，并增加发生胃穿孔、吸入性肺炎、牛黄形成、血栓栓塞及其他危及生命的并发症而导致死亡的风险。
临床观察：在本病例中，一位17岁的女孩在治疗因术后体重减轻引起的特发性脊柱侧凸时，通过手术矫正脊柱畸形，发现了肠系膜上动脉综合征，患者的身高与体重的比值发生了急剧变化。
讨论：由于采用了一种综合的方法来治疗这种并发症，取得了显著的临床疗效。然而，尽管保守治疗的结果，患者仍有发展成各种严重程度的慢性十二指肠梗阻的风险，可能需要手术治疗。
结论：如果不及时，并不彻底的治疗肠系膜上动脉综合征会增加慢性肠梗阻的风险。这种并发症的治疗始于保守治疗。在保守治疗无效的情况下，如果病情恶化，出现危及生命的情况（出血、穿孔），则需要手术治疗。
作者简介
Angelina Strelnikova
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: angelina.str.93@gmail.com
ORCID iD: 0000-0003-2013-1553
MD, Anesthesiologist-Intensivist, Department of Anesthesiology, Resuscitation and Intensive Care
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Aleksandr Kozyrev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: alexkozirev@inbox.ru
ORCID iD: 0000-0002-2828-4063
MD, PhD, Chief Doctor, Anesthesiologist-Intensivist of the Department of Anesthesiology, Resuscitation and Intensive Care
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Sergei Vissarionov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: vissarionovs@gmail.com
ORCID iD: 0000-0003-4235-5048
MD, PhD, D.Sc., Professor, Correspondent Member of RAS, Deputy Director for Research and Academic Affairs, Head of the Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Kirill Kartavenko
The Turner Scientific Research Institute for Children’s Orthopedics
Email: med-kart@yandex.ru
ORCID iD: 0000-0002-6112-3309
MD, PhD, Orthopedic and Trauma Surgeon of the Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Vladislav Murashko
The Turner Scientific Research Institute for Children’s Orthopedics
Email: v.murashko@gmail.com
ORCID iD: 0000-0002-2201-6906
MD, Orthopedic and Trauma Surgeon of the Department of Spinal Pathology and Neurosurgery
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
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