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首页> 外文期刊>American Journal of Cardiovascular Disease Research >Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically
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Superior Mesenteric Artery Thrombosis and Partial Dissection Managed Medically

机译：肠系膜上动脉血栓形成和部分解剖的医疗管理

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摘要

A 44-year old male presented to the ED complaining of abdominal pain. CT angiography of the abdomen showed thrombus extend from the proximal superior mesenteric artery (3 cm distal to the origin), with partial dissection of the superior mesenteric artery. He was given intravenous fluid and was started on intravenous heparin. All hypercoagulable workup was done to rule out the causes of thrombosis or dissection was negative. The patient’s abdominal pain was decreasing, and heparin was bridged with Coumadin. The patient was discharged to home, and advised to check INR regularly and follow up with the vascular surgery department. Conservative management is generally the preferred treatment. For more serious cases, aggressive approaches such as percutaneous endovascular stent placement or surgery would be considered.
机译：一名44岁的男性因急腹症向ED提出。腹部的CT血管造影显示，血栓从肠系膜上动脉近端（距原点3 cm处）延伸，部分切除了肠系膜上动脉。给他静脉注射液体，然后开始静脉注射肝素。进行所有高凝检查以排除血栓形成或剥离的原因为阴性。病人的腹痛正在减轻，肝素与香豆素可以桥接。患者出院回家，并建议定期检查INR，并向血管外科部门随访。保守治疗通常是首选治疗方法。对于更严重的情况，将考虑采用侵入性方法，例如经皮血管内支架置入或手术。

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