急性腸間膜動脈閉塞症
WordNet
- of critical importance and consequence; "an acute (or critical) lack of research funds"
- having or demonstrating ability to recognize or draw fine distinctions; "an acute observer of politics and politicians"; "incisive comments"; "icy knifelike reasoning"; "as sharp and incisive as the stroke of a fang"; "penetrating insight"; "frequent penetrative observations" (同)discriminating, incisive, keen, knifelike, penetrating, penetrative, piercing, sharp
- extremely sharp or intense; "acute pain"; "felt acute annoyance"; "intense itching and burning" (同)intense
- having or experiencing a rapid onset and short but severe course; "acute appendicitis"; "the acute phase of the illness"; "acute patients"
- of an angle; less than 90 degrees
- an impairment of health or a condition of abnormal functioning
- caused by or altered by or manifesting disease or pathology; "diseased tonsils"; "a morbid growth"; "pathologic tissue"; "pathological bodily processes" (同)morbid, pathologic, pathological
- of or involving or contained in the arteries; "arterial disease"; "the arterial system"; "arterial blood"
- tending to occlude
PrepTutorEJDIC
- (先の)『鋭い』,とがった / (痛み・感情などが)『激しい』,強い / (知力・感覚などが)『鋭い』,鋭敏な / (事態が)重大な / (病気が)急性の / (音が)高い,鋭い / 鋭角の
- (体の)『病気』,疾患 / (精神・道徳などの)病気,病弊
- 女性の話術芸人 =diseur
- 病気にかかった / 病的な,不健全な(morbid)
- 動脈の,動脈状の / 動脈血の / 幹線の
UpToDate Contents
全文を閲覧するには購読必要です。 To read the full text you will need to subscribe.
English Journal
- [SURGICAL TREATMENT OF AN ACUTE MESENTERIAL ISCHEMIA].
- Shepehtko EN, Garmash DA, Kurbanov AK, Marchenko VO, Kozak YS.
- Klinichna khirurhiia / Ministerstvo okhorony zdorov'ia Ukraïny, Naukove tovarystvo khirurhiv Ukraïny.Klin Khir.2016 Apr;(4):37-9.
- Experience of surgical treatment of 143 patients, suffering an acute mesenterial ischemia, was summarized. Isolated intestinal resection was performed in 41 patients (lethality 65.9%), intestinal resection with the mesenterial vessels thrombembolectomy--in 9 (lethality 33.3%). After performance of t
- PMID 27434952
- Clair DG1, Beach JM1.
- The New England journal of medicine.N Engl J Med.2016 Mar 10;374(10):959-68. doi: 10.1056/NEJMra1503884.
- PMID 26962730
- [A Case of Acute Superior Mesenteric Artery Occlusion Rescued by Thrombus Aspiration without Bowel Resection].
- Inamasu Y1, Asaumi H, Watanabe T, Kume K, Yoshikawa I, Harada M.
- Journal of UOEH.J UOEH.2016 Mar 1;38(1):53-9. doi: 10.7888/juoeh.38.53.
- Acute superior mesenteric artery (SMA) occlusion is rare and associated with high morbidity and mortality.One of the reasons is the difficulty to diagnose the disease soon after the abdominal pain initially occurs. A 79-year-old woman with atrial fibrillation was admitted because of progressive left
- PMID 26972945
Japanese Journal
- Survival of Three Nonocclusive Mesenteric Ischemia Patients following Early Diagnosis by Multidetector Row Computed Tomography and Prostaglandin E1 Treatment
- Kamimura Kenya,Oosaki Akihiko,Sugahara Satoshi,Mori Shigeki
- Internal Medicine 47(22), 2001-2006, 2008
- … Nonocclusive mesenteric ischemia (NOMI) is an acute mesenteric circulatory disorder which is characterized by spasm and narrowing of the arterial branches. … In contrast to occlusive disease, early diagnosis of NOMI is difficult because of its mild symptoms, thus resulting in a high mortality rate. …
- NAID 130000079824
- 糖尿病性ケトアシドーシスに合併した急性下腸間膜動脈閉塞症の1手術例
- 小熊 潤也,青木 真彦,細田 桂,城戸 啓,夏 錦言,田村 光,雨宮 哲
- 日本消化器外科学会雑誌 40(11), 1858-1863, 2007-11-01
- 症例は71歳の男性で,一昼夜続いた頻尿とその後出現した腹部膨満感を主訴に当院を受診した.高血糖,尿中ケトン体陽性,および代謝性アシドーシスを認め,糖尿病性ケトアシドーシスと診断し,緊急入院のうえ,保存的治療をただちに開始した.入院後腹部膨満感が徐々に増悪し,腹部CTを施行したところ,下腸間膜動脈根部の閉塞,同支配領域の腸管の濃染不良および直腸狭窄を認めた.下部消化管内視鏡検査を施行したところ,直腸 …
- NAID 110006439097
- 川北 直人,裏川 公章,中本 光春,山口 俊昌,田中 宏明,磯 篤典,西尾 幸男,植松 清,岩越 一彦
- 日本消化器外科学会雑誌 23(5), 1159-1163, 1990-05-01
- 当科にて経験した急性腸間膜動脈閉塞症7例を対象とし, 臨床的特徴, 予後に影響する因子などについて検討した. 平均年齢は68.3歳, 全例に循環器系疾患などの併存を認めた. アシドーシスを5例 (71.2%), 白血球増多を4例 (57.1%) に認めた. 全例に小腸広範囲切除を施行し, 4例 (57.1%) が直死した. 直死例の平均年齢は75.8歳と高く, また発症より手術までの平均時間は78 …
- NAID 110001311254
Related Links
- We have had seven cases of acute mesenteric arterial occlusive disease at our department and have evaluated the clinical features and the prognostic factors of this disease. The mean age was 68.3 years and all the cases were ...
- Acute mesenteric arterial embolus (AMAE); Acute mesenteric arterial thrombosis (AMAT); Acute mesenteric infarction; Acute mesenteric ischemia; Acute mesenteric occlusive disease; Acute mesenteric venous thrombosis Go ...
★リンクテーブル★
[★]
- 英
- acute mesenteric arterial occlusive disease, acute mesenteric arterial occlusion?, acute mesenteric artery occlusion?
- 関
- 腸間膜動脈閉塞症。腹痛
- 血栓を形成する基礎疾患を有する人が突発性疝痛性の腹痛を訴え、下血、麻痺性イレウス、ショック状態が見られたら急性腸間膜動脈閉塞症を考える。 ← 例えば 心房細動
- 治療:
- 方針:保存的治療を行い、不応ならば外科的治療を。(小腸梗塞)腸管切除。(大腸梗塞)内科的治療が原則。
- (血管造影時に診断を付けると同時に)(発症から10時間以内であること)血栓溶解薬、血管拡張薬の投与
- 安静、絶食、輸液
参考
- 1. [charged] 急性腸間膜虚血 - uptodate [1]
国試
[★]
- 疾患:illnessより厳密な概念。「ある臓器に明確な障害が確認され、それによって症状が出ているとはっきり説明できる場合」 (PSY.9)
- 特定の原因、病態生理、症状、経過、予後、病理組織所見が全てそろった場合 (PSY.9)
- something that is very wrong with people's attitudes, way of life or with society.
- 関
- ail、ailment、disease entity、disorder、ill、illness、malady、sick、sickness
- disease ≠ illness ≠ disorder
[★]
- (疾患)急性の、急性型の、急性的な。(形状が)鋭い、鋭角の。(感覚、才知などが)鋭い。明敏な、鋭い眼識のある。
- 関
- acutely、quick、sharp
[★]
- 関
- constrictive、obliterans、obliterative、obstructive、occlusively
[★]
- 関
- arteriosus、artery
[★]
- 関
- mesenterium、mesentery