One day recently, we were invited to two emergency consultations, both with stomach pains, but one from obstetrics and one from the cardiac center, with the same cause. What was the cause? 39-year-old Ms. Yang, who was 5 months pregnant, had sudden abdominal pain two days ago. On the same day, a 70-year-old Mr. Kong, who had been suffering from atrial fibrillation for many years, also had abdominal pain that was significantly worse, and also had a surgical consultation. Both patients developed symptoms of infectious shock in just two days. After consultation, both patients were diagnosed with “intestinal stroke” – a mesenteric artery thrombosis causing partial intestinal necrosis – and both underwent emergency surgery to remove part of their small intestine. What is a “stroke”? A “stroke” is an ischemia caused by bleeding or blockage of a blood vessel in a part of the body. Do you know how many different kinds of strokes there are? In our daily life, we often hear about “stroke” and strokes. In fact, there are some “stroke-like” diseases that are less known and need to be brought to people’s attention, such as “uterine stroke”, “eye stroke”, “ear stroke”, and “stroke in the ear”. Ear stroke”, and “intestinal stroke”. What is “intestinal stroke”? ”Intestinal stroke is a blockage or thrombosis of the mesenteric artery, which means that there is no blood supply to the intestine, and as a result, it bleeds and dies. ”What are the symptoms of intestinal stroke? Patients may experience severe pain in the abdomen, accompanied by nausea, vomiting and diarrhea. As the disease progresses, the abdominal pain gradually increases, and there may be chills and fever, blood vomiting, blood in the stool, pallor, drop in blood pressure, and abnormal mental performance. There are some signs before the onset of intestinal stroke, such as a feeling of fullness after meals, discomfort or vague pain in the upper abdomen, and worsening symptoms after a full meal or heavy alcohol consumption. In addition, patients with a history of heart disease, especially those with atrial fibrillation or patients with a history of heart surgery with abdominal pain, should especially ask for medical history of any stroke attack in other parts of the body, such as brain stroke, lower limb stroke, etc., such as Mr. Kong, who has had atrial fibrillation for many years as mentioned above. In addition, with the improvement of people’s living standards, the opening of the “two-child policy”, more and more obese mothers of advanced age, excess nutrition during pregnancy, advanced maternal age will develop hyperemesis, cardiovascular disease, hyperlipidemia, increased blood viscosity, which also increases the “intestinal stroke The risk of “intestinal stroke” is also increased. Are the consequences of a “stroke” serious? The treatment is similar to that of other strokes. The diagnosis and treatment of “intestinal stroke” is also important in time and early. If a stroke is not treated in time, it can lead to acute intestinal necrosis, blackening of the intestines and shock. Intestinal stroke medication is basically ineffective, and only surgery can be performed to remove the necrotic intestine. For example, in the two cases in this paper, both Ms. Yang, a middle-aged pregnant woman, and Mr. Kong, an elderly man, developed infectious shock due to intestinal necrosis and were in critical condition, and part of the intestine was removed. Severe cases can develop short bowel syndrome secondary to total small bowel necrosis, requiring removal of the entire small bowel or even part of the colon, requiring parenteral nutrition to sustain survival. This is a serious burden to the patient’s family and society. How to prevent “intestinal stroke”? 1, like the prevention of coronary heart disease, hypertension, diabetes, control of atherosclerosis, a reasonable diet, less animal fat, do not overeat, quit smoking, less alcohol, weight control, moderate physical activity, emotional cheerfulness, as far as possible to reduce the triggers. 2, to strengthen the awareness of intestinal stroke prevention, such as the recent often feel bloated after meals, hidden pain, discomfort, taking digestive drugs is ineffective, and repeatedly occur, weight loss trend, should promptly go to the hospital to take the necessary measures to control the acute intestinal ischemia attack. 3, to frequently check the lipid composition, blood rheology and other items. 4.For women of advanced age and suffering from hyperemesis, it is especially important to pay attention to a reasonable diet, avoid a large amount of high-fat food intake, avoid the increase of blood viscosity caused by hyperlipidemia, and be more active to avoid the formation and dislodgement of blood clots in the lower limbs.