目的　探讨血管疾病所致急腹症的诊断和治疗。方法　对 1997年 6月至 2 0 0 2年 8月间经治的 15例血管源性急腹症的临床资料进行回顾性分析。结果　以中老年病人为多见 ,常并存心脏、血管疾病。临床表现差异较大 ,容易漏诊、误诊。平均确诊时间 11h ,手术治疗 11例 ,非手术治疗 4例 ,死亡 2例 ,致残 1例。结论　重视病史的全面采集 ,坚持正规的体格检查程序 ,严密观察病情 ,正确的临床逻辑思维 ,恰当的辅助检查 ,是早期诊断和成功治疗该病的关键 Objective To investigate the diagnosis and treatment of acute abdomen caused by vascular diseases. Methods The clinical data of 15 cases of angiogenic acute abdomen treated between June 1997 and August 2002 were analyzed retrospectively. The results are more common in middle-aged and elderly patients, often coexisting with heart and vascular diseases. Differences in clinical manifestations, easy to missed diagnosis, misdiagnosis. The average time of diagnosis was 11 hours, 11 cases were treated by surgery, 4 cases were treated non-surgically, 2 cases died and 1 case was disabled. Conclusion The importance of comprehensive collection of medical history, adherence to formal physical examination procedures, close observation of the disease, correct clinical logical thinking, and appropriate auxiliary examinations are the key to early diagnosis and successful treatment of the disease