急性肠系膜静脉血栓的治疗  

Treatment of Acute Mesenteric Venous Thrombosis:12 Cases Report

作　　者：刘文国[1] 翁以炳[2] 王宇[3] 

机构地区：[1]中国康复研究中心北京博爱医院普通外科,北京市100068 [2]首都医科大学附属北京友谊医院中心ICU,北京市100050 [3]首都医科大学附属北京友谊医院普通外科,北京市100050

出　　处：《中国康复理论与实践》2008年第6期578-579,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨急性肠系膜静脉血栓形成（AMVT）治疗方法的选择。方法对1990年-2006年收治的18例AMVT患者的临床资料进行回顾性分析。结果12例患者因出现小肠坏死而接受手术治疗，其中2例为单纯手术治疗，10例为手术加抗凝治疗；6例接受非手术治疗。所有患者均痊愈出院。结论在未出现肠坏死的情况下，非手术治疗AMVT安全、有效，应为首选；接受手术者，术后抗凝治疗非常重要。Objective To detect the effect of the operative and nowoperative therapy on acute mesenteric venous thrombosis （AMVT）. Methods The documents of 18 AMVT patients from Jan 1990 to May 2006 were reviewed retrospectively. Results In 18 patients, 12 cases with intestinal necrosis received operation, among them, 2 cases received the operation only and 10 cases added with anti-coagulation therapy further. The rest 6 patients received non-operative therapy. All of 18 patients recovered well. Conclusion Non-operative therapy is safe and effective for the patients without intestinal necrosis. Post-operative anti-coagulation therapy is very important for the patients received the operative therapy.

关 键 词：急性肠系膜静脉血栓 手术治疗 非手术治疗 

分 类 号：R657.2[医药卫生—外科学]