ما هو علاج نقص التروية المساريقية غير الانسدادي؟

References

DOI: 10.1186/s13017-022-00443-x

• The central principle of NOMI management is the treatment of the underlying precipitating cause.
• Fluid resuscitation, optimization of cardiac output, and elimination of vasopressors remain important primary measures.
• When the diagnosis of AMI is made, fluid resuscitation should commence immediately to enhance visceral perfusion. Electrolyte abnormalities should be corrected, and nasogastric decompression initiated.
• Additional treatment may include systemic anticoagulation (heparin) and the use of catheter-directed infusion of vasodilatory and antispasmodic agents, most commonly papaverine hydrochloride.
• The goals of therapy should address physiologic levels of oxygen delivery with continued monitoring of lactate level as an indication of perfusion improvement.