- 1、本文档共34页,可阅读全部内容。
- 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
- 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载。
- 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
肠系膜上动脉综合征SMA
Superior mesenteric artery syndrome superior mesenteric artery syndrome is a very rare, life-threatening gastrovascular disorder characterized by a compression of the third portion of the duodenum by the superior mesenteric artery. SMA syndrome was first described in 1861 by Carl Freiherr von Rokitansky in victims at autopsy, but remained pathologically undefined until 1927 when Wilkie published the first comprehensive series of 75 patients.With only about 500 reported cases in the history of English-language medical literature,SMA syndrome is estimated to have a mortality rate of 1 in 3. SMA syndrome is also known as Wilkies syndrome, cast syndrome, mesenteric root syndrome, chronic duodenal ileus It is distinct from Nutcracker syndrome,which is the entrapment of the left renal vein between the AA and the SMA. causes The syndrome is typically caused by an angle of 6-25°between the AA and the SMA, in comparison to the normal range of 38-56°due to a lack of retroperitoneal and visceral fat. In addition, the aorto-mesenteric distance is 2-8 millimeters, as opposed to the typical 10-20. Retroperitoneal fat and lymphatic tissue normally serve as a cushion for the duodenum, protecting it from compression by the SMA. SMA syndrome is thus triggered by any condition involving an insubstantial cushion and narrow mesenteric angle.SMA Syndrome can present in two forms: chronic/congenital or acute/induced . Risk anatomic factors such as: very thin or lanky body build, an unusually high insertion of the duodenum at the ligament of Treitz, a particularly low origin of the SMA. Predisposition easily aggravated such as poor motility of the digestive tract retroperitional tumors cachexia exaggerated lumbar lordosis visceroptosis abdominal wall laxity peritoneal adhesions abdominal trauma rapid linear adolescent growth spurt, weight loss starvation catabolic states(cancer and burns). Symptoms
您可能关注的文档
- 缺爱心理的表现危害和治疗综述.doc
- 缺氧(hypoia)的概念当组织的氧供应不足,或组织利用.ppt
- 缩小口腔健康差的机会用于临床实践的基础科学.ppt
- 绿色矢量树木系列商务演示PPT模板.ppt
- 编译原来期末复习题.doc
- 网上书店实训报告-.doc
- 缺陷描述及处理见案例.ppt
- 网上商店的设计与实现及发展趋势.doc
- 罐式集装箱(第7组).pptx
- 网吧应急救援预案.doc
- 2025至2030年精制中山抓笔项目可行性研究报告.docx
- 2025-2030年低速柴油机燃油喷射装置项目投资价值分析报告.docx
- 2025-2030年减速器配件项目投资价值分析报告.docx
- 2025-2030年内窥镜配件项目商业计划书.docx
- 2025-2030年供电系统项目投资价值分析报告.docx
- 2025至2030年螺纹式设备线夹项目可行性研究报告.docx
- 2025至2030年联夹器项目可行性研究报告.docx
- 2025至2030年电子调温枪项目可行性研究报告.docx
- 2025至2030年空气辅助式静电喷枪项目可行性研究报告.docx
- 2025-2030年前叉总成项目商业计划书.docx
文档评论(0)