关键词: Acute-mesenteric ischemia Non-occlusive Sildenafil

Mesh : Male Humans Mesenteric Ischemia / chemically induced Sildenafil Citrate / adverse effects Mesenteric Vascular Occlusion / diagnosis Emergency Service, Hospital Ischemia / chemically induced diagnosis

来  源:   DOI:10.1016/j.ajem.2022.09.006

Abstract:
Acute mesenteric ischemia (AMI) is a condition that results from a sudden decline in blood flow through the mesenteric vessels that has a high morbidity and mortality. Non-occlusive AMI often presents in critically ill, hypotensive patients that suffer from decreased organ perfusion. Here we describe a case of non-occlusive acute mesenteric ischemia in the setting of transient hypotension precipitated by sildenafil. The patient required rapid fluid resuscitation in the emergency department. He did not require surgical intervention and was able to be discharged home with resolution of symptoms after a 7-day inpatient stay.
摘要:
急性肠系膜缺血(AMI)是由通过具有高发病率和死亡率的肠系膜血管的血流突然下降引起的病症。非闭塞性AMI常出现在危重患者中,器官灌注减少的低血压患者。在这里,我们描述了在由西地那非引起的短暂性低血压的情况下,非闭塞性急性肠系膜缺血的情况。患者需要在急诊科进行快速液体复苏。他不需要手术干预,住院7天后症状缓解,能够出院回家。
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