Острая неокклюзионная мезентериальная ишемия
https://doi.org/10.24060/2076-3093-2025-15-4-390-401
Аннотация
В обзоре представлен анализ современной научной литературы, посвященной острой неокклюзионной мезентериальной ишемии (ОНМИ) — тяжелейшей патологии с летальностью до 80 %. Рассматриваются ключевые аспекты патогенеза, основные факторы риска и особенности клинической картины, затрудняющие раннюю диагностику. Особое внимание уделено возможностям и ограничениям современных методов диагностики, включая мультиспиральную компьютерно-томографическую ангиографию (МСКТ-А) и определение биомаркеров. Подробно проанализированы стратегии консервативного лечения (антикоагулянтная, системная вазодилатационная терапия) и хирургических вмешательств, включая реваскуляризацию, резекцию нежизнеспособных участков кишки и тактику damage control surgery. Обсуждается критически важная роль эксплоративной лапаротомии и лапароскопии в верификации диагноза и интраоперационной оценки жизнеспособности кишечника. Подчеркивается необходимость мультидисциплинарного подхода и создания специализированных центров для улучшения исходов лечения.
Об авторах
Ш. В. Тимербулатов
Башкирский государственный медицинский университет
Россия
Россия
Тимербулатов Шамиль Вилевич — д.м.н., профессор, кафедра хирургии и эндоскопии
Республика Башкортостан, Уфа
А. Р. Гафарова
Башкирский государственный медицинский университет
Россия
Россия
Гафарова Айгуль Радиковна — к.м.н., кафедра хирургии и эндоскопии
Республика Башкортостан, Уфа
В. В. Плечев
Башкирский государственный медицинский университет
Россия
Россия
Плечев Вячеслав Владимирович — ординатор, кафедра госпитальной и сердечно-сосудистой хирургии
Республика Башкортостан, Уфа
Р. Р. Гараев
Башкирский государственный медицинский университет
Россия
Россия
Гараев Руслан Ралифович — к.м.н., кафедра общей хирургии, трансплантологии и лучевой диагностики
Республика Башкортостан, Уфа
В. М. Тимербулатов
Башкирский государственный медицинский университет
Россия
Россия
Тимербулатов Виль Мамилович — д.м.н., чл.-корр. РАН, профессор, кафедра хирургии и эндоскопии
Республика Башкортостан, Уфа
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Рецензия
Для цитирования:
Тимербулатов Ш.В., Гафарова А.Р., Плечев В.В., Гараев Р.Р., Тимербулатов В.М. Острая неокклюзионная мезентериальная ишемия. Креативная хирургия и онкология. 2025;15(4):390-401. https://doi.org/10.24060/2076-3093-2025-15-4-390-401
For citation:
Timerbulatov Sh.V., Gafarova A.R., Plechev V.V., Garaev R.R., Timerbulatov V.M. Acute Non-Occlusive Mesenteric Ischemia. Creative surgery and oncology. 2025;15(4):390-401. (In Russ.) https://doi.org/10.24060/2076-3093-2025-15-4-390-401
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