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<?xml version="1.0" encoding="UTF-8" standalone="no"?><merged xmlns:dita-ot="http://dita-ot.sourceforge.net/ns/201007/dita-ot" id="GUID-be136722-bb82-44e0-aa25-91d00929135c-en" xml:lang="zh" xtrf="file:/mnt/crx/author/crx-quickstart/profiles/ditamaps/ditamap18418499948662603633/hecs-ccms/zh_cn/HIL/conditions/m-o/mesenteric-ischemia/mesenteric-ischemia.ditamap"> <displayTitle>肠系膜缺血</displayTitle> <featureTitle/> <listTitle/> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Overview" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:44pEWi7NJ2ZjygQc9meJT5:2026-10-09" xml:lang="zh"> <title>overview mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-overview">概述</titleSimple> </titlealts> <conbody> <p product="mayoclinic.org"> <xref href="https://www.mayoclinic.org/about-this-site/meet-our-medical-editors" keyref="attrib-mayo-clinic-staff-link" scope="external">来自妙佑医疗国际员工</xref> </p> <conbodydiv platform="richtext"> <section> <p>肠系膜缺血是一种医疗状况，其发生原因是动脉变窄或阻塞，导致小肠血液供应受限。血流减少可能对小肠造成永久性损伤。</p> <p>流向小肠的血流量突然减少被称为急性肠系膜缺血。急性类型通常由血凝块引起，需要立即采取手术等治疗方法。</p> <p>逐渐发展的肠系膜缺血被称为慢性肠系膜缺血。慢性类型通常由动脉中的脂肪沉积物积聚引起。慢性肠系膜缺血可通过开放手术或血管成形术来治疗。</p> <p>如果不加以治疗，慢性肠系膜缺血可能转为急性。还可能导致严重体重下降和营养不良。</p> <fig> <title>典型肠系膜动脉循环与肠系膜缺血</title> <desc> <p>患肠系膜缺血时，动脉阻塞会切断一部分流向肠道的血液。</p> </desc> <image href="https://assets.mayoclinic.org/content/dam/hecs-ccms/global/images/hil-ccgs/mesenteric-arterial-circulation-en.jpg" placement="inline"> <alt>典型肠系膜动脉循环与肠系膜缺血</alt> </image> </fig> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Symptoms" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:GpEUMoKesiaPQsGgAn52Wn:2026-10-09" xml:lang="zh"> <title>symptoms mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-symptoms">症状</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <title>急性肠系膜缺血</title> <p>急性肠系膜缺血的症状包括：</p> <ul> <li>突发性严重腹部疼痛。</li> <li>急需排便。</li> <li>发热。</li> <li>恶心和呕吐。</li> </ul> </section> <section> <title>慢性肠系膜缺血</title> <p>慢性肠系膜缺血的常见症状包括：</p> <ul> <li>进食后约 30 分钟开始腹痛。</li> <li>疼痛加重超过一小时。</li> <li>疼痛在 1 到 3 小时内消失。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/WhenToSeekCare" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:GRyQ7wiznyJbJHENKfJi4U:2026-10-09" xml:lang="zh"> <title>When to see a doctor mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-when-to-see-doctor">何时就医</titleSimple> </titlealts> <conbody> <p>如果您突然发生严重腹部疼痛，且未见消退，请寻求紧急医疗护理。如果您在进食后出现疼痛，请与初级医护团队成员约诊。</p> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Causes" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:APt3A4JeUtqmhaZbgtFqRu:2026-10-09" xml:lang="zh"> <title>causes mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-causes">原因</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>急性和慢性肠系膜缺血都是因小肠供血减少导致。急性肠系膜缺血最常见的原因是主肠系膜动脉中出现血凝块。血凝块通常始于心脏。慢性病形式最常见的原因是脂肪沉积物（称为斑块）积聚，使动脉变窄。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/RiskFactors" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:5TD6i5t6ZUUhFWBoP4WSe3:2026-10-09" xml:lang="zh"> <title>risk factors mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-risk-factors">风险因素</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>急性肠系膜缺血最常见的风险因素包括：</p> <ul> <li>心房颤动，一种不规则的心跳，通常是心律非常快。</li> <li>充血性心力衰竭，一种心肌无法正常泵血的疾病。</li> <li>最近做过血管手术。</li> </ul> <p>慢性肠系膜缺血最常见的风险因素包括：</p> <ul> <li>2 型糖尿病。</li> <li>高胆固醇水平。</li> <li>高血压。</li> <li>动脉疾病。</li> <li>抽烟。</li> <li>肥胖症。</li> <li>年龄较大。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Complications" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:DeZpcNACV2iTdqxQpV3fT4:2026-10-09" xml:lang="zh"> <title>complications mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-complications">并发症</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>如果不及时治疗，急性肠系膜缺血可能导致：</p> <ul> <li> <b>不可逆的肠道损伤。</b> 肠道供血不足可导致肠道的某些部分坏死。</li> <li> <b>脓毒症。</b> 这种可能危及生命的状况是由于身体向血流中释放化学物质以抵抗感染而导致。脓毒症患者的身体对化学物质产生过度反应，引发可能导致多器官功能衰竭的变化。</li> <li> <b>死亡。</b> 上面这两种并发症都可能导致患者死亡。</li> </ul> <p>慢性肠系膜缺血患者可能出现以下状况：</p> <ul> <li> <b>进食恐惧。</b> 这是因为该疾病与饭后疼痛相关。</li> <li> <b>非预期的减重。</b> 这是由于进食恐惧造成。</li> <li> <b>慢加急肠系膜缺血。</b> 慢性肠系膜缺血的症状可能加重，导致这种状况变成急性。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Diagnosis" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:RFTC39s8nkxZUQ5rGWt5zn:2026-10-09" xml:lang="zh"> <title>diagnosis mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-diagnosis">诊断</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>如果您在进食后感到疼痛，导致您进食有限和体重下降，医务人员可能会怀疑您患有慢性肠系膜缺血。发现通往小肠的主要动脉狭窄，可以帮助确诊。</p> <p>检查可能包括：</p> <ul> <li> <b>血管造影。</b> 医务人员可能建议您接受腹部 CT 扫描、MRI 或 X 线检查，查明小肠动脉是否狭窄。添加造影剂可以帮助确定动脉狭窄区域。</li> <li> <b>多普勒超声。</b> 这项非侵入性检查使用声波来检查血流，从而确定动脉是否存在狭窄。</li> </ul> </section> </conbodydiv> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Treatment" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:TXYZPjnSTLKr4s5RRzbZMi:2026-10-09" xml:lang="zh"> <title>treatment mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-treatment">治疗</titleSimple> </titlealts> <conbody> <conbodydiv platform="richtext"> <section> <p>如果因血凝块导致小肠的血液供应突然中断，您可能需要立即接受手术，以治疗肠系膜缺血。</p> <p>逐渐发展的肠系膜缺血或可通过血管成形术治疗。血管成形术是一种使用球囊扩张狭窄区域的医疗程序。可能会在狭窄区域放置一个网状管（称为支架）。</p> <p>肠系膜缺血也可以通过切口进行开放手术治疗。</p> </section> </conbodydiv> </conbody> </hecsConcept> <hecsReference contentType="http://ontology.mayo.edu/ContentCategories/References" policy="did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB" reviewedOn="2023-06-02T05:00:00.000-05:00" workId="did:mcid:GA7sM4tKVzLTX7ryZqkeS3:2026-10-09" xml:lang="zh"> <title>references mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-references">参考资料</titleSimple> </titlealts> <prolog> <footnotes> <fn>AskMayoExpert. Mesenteric arterial ischemia (adults). Mayo Clinic; 2023.</fn> <fn>Gilani R. Acute mesenteric arterial occlusion. https://www.uptodate.com/contents/search. Accessed March 13, 2023.</fn> <fn>Yu H, et al. An update on acute mesenteric ischemia. Canadian Association of Radiologists Journal. 2023; doi:10.1177/08465371221094280.</fn> <fn>Huber TS, et al. Chronic mesenteric ischemia: Clinical practice guidelines from the Society for Vascular Surgery. Journal of Vascular Surgery. 2021; doi:10.1016/j.jvs.2020.10.029. </fn> <fn>Bala M, et al. Acute mesenteric ischemia: Updated guidelines of the World Society of Emergency Surgery. World Journal of Emergency Surgery. 2022; doi:10.1186/s13017-022-00443-x.</fn> <fn>Tendler DA, et al. Chronic mesenteric ischemia. https://www.uptodate.com/contents/search. Accessed March 13, 2023.</fn> <fn>Ami TR. Allscripts EPSi. Mayo Clinic. March 24, 2023.</fn> </footnotes> </prolog> </hecsReference> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/Research" policy="" reviewedOn="" workId="did:mcid:DkQP1zDNfNJyxsCYDpDLLF:2026-10-09" xml:lang="zh"> <title>research mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-research">研究</titleSimple> </titlealts> <conbody> <p>妙佑医疗国际的研究人员正在努力改善肠系膜缺血的治疗，包括减少治疗并发症的技术。</p> <section> <title> <keyword keyref="sectionTitle-publications">著述</keyword> </title> <p>请参阅美国国家医学图书馆检索服务系统 PubMed 所收录的妙佑医疗国际的医生在肠系膜缺血领域的<xref href="https://pubmed.ncbi.nlm.nih.gov/?term=(Mesenteric+Ischemia+%5BMeSH%5D+OR+Mesenteric+Ischemia+%5BALL%5D)+AND+(55901%5BAD%5D+OR+55905%5BAD%5D+OR+32224%5BAD%5D+OR+85054%5BAD%5D+OR+85259%5BAD%5D+OR+Mayo+Clinic%5BAD%5D+OR+Mayo+Foundation%5BAD%5D+OR+Mayo+College%5BAD%5D+OR+Mayo+Medical%5BAD%5D+OR+Mayo+School%5BAD%5D)" keyref="pubMed-mesenteric-ischemia" scope="external">著述目录</xref>。</p> </section> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/CareMayoClinic" policy="" reviewedOn="" workId="did:mcid:J2MyweT2QtxAzrC8G9Amr1:2026-10-09" xml:lang="zh"> <title>care at mayo mesenteric ischemia</title> <titlealts> <titleCustom>妙佑医疗国际的肠系膜缺血护理</titleCustom> <titleSimple/> </titlealts> <conbody> <section> <title> <keyword keyref="sectionTitle-your-mayo-care-team">妙佑医疗国际医护团队</keyword> </title> <p>妙佑医疗国际汇集了治疗血液和淋巴血管疾病的专科医生（<xref href="https://www.mayoclinic.org/departments-centers/vascular-centers/sections/overview/ovc-20458781" keyref="org-vascular-centers-overview" scope="external">血管外科医生和血管医学专科医生</xref>）、执行医疗程序的放射科医生（<xref href="https://www.mayoclinic.org/departments-centers/radiology/sections/overview/ovc-20469630" keyref="org-radiology-overview" scope="external">介入放射科医生</xref>）和治疗心脏病的医生（<xref href="https://www.mayoclinic.org/departments-centers/cardiovascular-medicine/home/orc-20121930" keyref="org-cardiovascular-medicine-home" scope="external">心脏科医生</xref>）的专业知识，以诊断和治疗肠系膜缺血。这种合作式方法可确保您得到一个全面评估和针对您独特需求的治疗。</p> </section> <section> <title> <keyword keyref="sectionTitle-advanced-diagnosis-treatment">先进的诊断和治疗</keyword> </title> <p>肠系膜缺血并不常见，而且可能难以诊断。妙佑医疗国际有专门从事血管（称为血管系统）影像学检查的医生。详细的影像学检查是准确诊断和计划治疗的关键。</p> <p>因为慢性肠系膜缺血在小肠内形成血凝块的风险很大，所以妙佑医疗国际的专科医生建议治疗该病。具体的治疗方法取决于血管堵塞的程度和您的整体健康状况。治疗方法可能包括血管成形术、肠系膜动脉旁路术或肠系膜动脉内膜切除术。妙佑医疗国际的医生在肠系膜缺血治疗方面经验丰富，可根据您的病症决定最佳治疗方法。</p> <p>治疗慢性肠系膜缺血的方案包括手术重建或经皮血管造影术加血管成形术（植入或不植入支架）。影响治疗决策的主要因素之一是当地的专业技能，包括是否有接受过经皮手术培训的血管外科医生和介入放射科医生。</p> </section> </conbody> </hecsConcept> <hecsConcept contentType="http://ontology.mayo.edu/ContentCategories/ExpertiseRanking" policy="" reviewedOn="" workId="did:mcid:2sHJrvNhEtbHyW8YzJWR7r:2026-10-09" xml:lang="zh"> <title>expertise rankings mesenteric ischemia</title> <titlealts> <titleSimple keyref="titleSimple-expertise-and-rankings">专业技能和排名</titleSimple> </titlealts> <conbody> <p>妙佑医疗国际每年为约 200 例肠系膜缺血患者提供护理。</p> <section> <title>研究领军者</title> <p>妙佑医疗国际的研究人员率先以新方法治疗肠系膜缺血。您将体验到妙佑医疗国际医生-科学家的专业技能。</p> </section> </conbody> </hecsConcept> <metadata> <hasPoCID>CON-20374979</hasPoCID> <primaryIdentifier>did:mcid:Qp8R1on24t5FdUt7Ah9FwT:1.38</primaryIdentifier> <workId>did:mcid:QZk3TaFAVzq6HfvLofqWCm:2026-10-09</workId> <language>zh_cn</language> <publicationStatus>Done</publicationStatus> <issuedOn>2010-04-19T05:00:00.000-05:00</issuedOn> <reissuedOn>2026-10-21T00:00:00.000-05:00</reissuedOn> <mapPath>/content/dam/hecs-ccms/zh_cn/HIL/conditions/m-o/mesenteric-ischemia/mesenteric-ischemia.ditamap</mapPath> <manifestationID>did:mcid:4qZ2EtntFa4TLwABNQZFEN:2026-10-20-0853</manifestationID> <seoDescription>该状况可能突然发病，也可能随时间推移缓慢发展。详细了解这种限制向小肠供血的状况的症状和治疗方法。</seoDescription> <seoUrlKeyword>mesenteric-ischemia</seoUrlKeyword> <policy>did:mcid:PDkv3FCzsA4FPiHVvT1zRc;did:mcid:7AmKpSty59qW9PRkXPDxNB</policy> <reviewedOn>2025-06-24T19:00:00.000-05:00</reviewedOn> <contentType>http://ontology.mayo.edu/ContentCategories/GeneralAudienceConditionGuide</contentType> <seoTitle/> <hideAppointmentButton>false</hideAppointmentButton> <hideThirdPartyAds>false</hideThirdPartyAds> <index>true</index> </metadata> </merged>