Abstract
Objectives: To investigate the prognostic factors for the acute occlusion of the superior mesenteric artery (SMA). Methods: Twenty-seven patients with SMA occlusion were divided into a death group and survival group based on their survival status 28 days after admission. Results: Acute Physiology and Chronic Health Evaluation II (APACHE II) scores (18.2±6.4) and lactate (8.1±4.3 mmol/l) and creatinine (2.3±1.1 mg/dl) levels of the death group were significantly higher than those of the survival group. The duration between the appearance of symptoms and initiation of treatment in the death group was 15 hours and equal to that of the survival group. Conclusions: To predict the prognosis, not the duration between the onset of symptoms and initiation of treatment but lactate and creatinine may be important.
