A cute mesenteric ischaemia (AMI) is a rare vascular emergency, but one that must be excluded as a cause of acute abdominal pain, especially in older patients, as it has a very high mortality rate. It is a time-critical disease process, and the best outcomes are seen when patients are rapidly diagnosed at the early stage and referred immediately to a hospital with vascular surgery, general surgery and interventional radiology services available. The aim of this article is to cover the diagnosis and management of AMI mainly from a primary care level. The aetio-pathology and clinical presentation of AMI will be described, and particular emphasis will be on how to identify AMI early, the importance of rapid referral, and appropriate approaches to risk factor reduction. There will be a brief discussion on the various secondary care management strategies. However, the main purpose of the article is to better equip GPs to optimally manage AMI in the community and thus improve global AMI outcomes.
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机译:可爱的肠系膜缺血 (AMI) 是一种罕见的血管急症,但必须排除急性腹痛的原因,尤其是在老年患者中,因为它的死亡率非常高。这是一个时间紧迫的疾病过程,当患者在早期得到快速诊断并立即转诊到提供血管外科、普通外科和介入放射学服务的医院时,就会看到最好的结果。本文的目的是主要从初级保健层面介绍AMI的诊断和管理。将描述 AMI 的病因病理学和临床表现,并特别强调如何及早识别 AMI、快速转诊的重要性以及减少危险因素的适当方法。将对各种二级保健管理策略进行简要讨论。然而,本文的主要目的是更好地装备全科医生,以最佳方式管理社区中的 AMI,从而改善全球 AMI 结果。
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