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腹主动瘤破裂(简称rAAA)并发结肠缺血,可达7%～27%,死亡率高。Harborview医学中心(华盛顿大学医学院)曾于1980～1991年收治190例rA-AA,取其中并发和不并发结肠缺血各25例进行回顾性比较,分析其解剖学、血流动力学和临床表现,结果如下: 结肠缺血表现:在25例中,10例系在修补动脉瘤破裂手术时发现,均作结肠切除;另15例则在手术后发现,经乙状结肠镜检和临床确诊分别占12例和3例,12例再次手术,3例仅作观察。结肠缺血组平均年龄75岁,而对照组(无缺血)为71岁。全部对照组和24例结肠缺血者为男性。两组病人均有症状,如腹、背或腹股沟区疼痛,呕吐、恶心和腹泻等胄肠遗症状,并有胸痛。对照组的胃肠道症状较多见,其他区别不显著。
Abdominal aortic rupture (rAAA) complicated by colonic ischemia, up to 7% to 27%, high mortality. A total of 190 rA-AA patients were enrolled in Harborview Medical Center (Washington University School of Medicine) from 1980 to 1991, and 25 cases of concurrent and non-concurrent colonic ischemia were retrospectively analyzed. Their anatomy, hemodynamics and clinical Performance, the results are as follows: Colonic ischemia performance: 25 cases, 10 cases were repaired aneurysm rupture surgery were found for colonic resection; the other 15 cases were found after surgery by sigmoidoscopy and clinically confirmed were accounted for 12 cases and 3 cases, 12 cases of reoperation, 3 cases only for observation. The mean colonic ischemia group was 75 years old, while the control group (no ischemia) was 71 years old. All control groups and 24 patients with colonic ischemia were men. Two groups of patients had symptoms such as abdominal, dorsal or groin pain, vomiting, nausea and diarrhea, intestinal symptoms, and chest pain. The control group gastrointestinal symptoms are more common, the other differences were not significant.