急性肠系膜静脉血栓形成早期诊治分析

详细信息

收稿日期: 2012-02-14

Early diagnosis and treatment of acute mesenteric venous thrombosis

- 1 Department of Emergency, Jinshan Hospital, Fudan University, Shanghai, 200540;
- 2 Department of General Surgery, Jinshan Hospital, Fudan University

More Information

Received Date: 14 February 2012

摘要: 目的: 探讨急性肠系膜静脉血栓形成(AMVT)的临床特征及早期诊断与治疗方法。方法: 对1996-01-2009-10收治的13例AMVT患者的临床资料进行回顾性分析。结果: 手术前确诊4例,其中2例保守治疗成功。11例手术治疗,平均切除肠管240 cm。10例治愈,3例死亡。结论: 厌食、腹部饱胀不适,症状和体征不符的腹痛和可能存在的高凝状态是早期诊断的线索,彩色多普勒及CT扫描血管重建检查对早期诊断有重要意义。
- 血栓形成 /
- 肠系膜静脉 /
- 诊断 /
- 治疗
Abstract: Objective: To study clinical features, early diagnosis and treatment of acute mesenteric venous thrombosis (AMVT).Method: 13 cases AMVT clinical data collected during the period of January 1996 to October 2009 were retrospectively analyzed.Result: 4 cases were diagnosed clearly before surgery, including two cases with conservative treatment. 11 cases were treated by surgical operation, an average of 240 cm intestinal was resected. 10 cases were cured, 3 patients died.Conclusion: It is important to keep vigilance for AMVT in the patients in hypercoagu-lation status, especially with anorexia, flatulence and discordance between symptoms and signs. Color-US and CT-angiography is inevitable in early diagnosis of AMVT.
- thrombosis /
- mesenteric venous /
- diagnosis /
- treatment

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