Acute mesenteric ischemic disease(AMI) is a very critical and high mortality abdominal emergency in clinic. Although the understanding and diagnostic techniques of this disease are constantly improving, the mortality rate is still high, which is mainly due to intestinal necrosis in AMI and untimely surgical resection, which ultimately leads to death. Therefore, early identification and prediction of intestinal necrosis in AMI and active intervention measures are the key to reduce the mortality. This article reviews the current domestic and foreign studies on the predictive factors of intestinal necrosis in AMI, so as to provide a reference for timely surgical intervention.