肠系膜静脉栓塞八例误诊误治分析  

Clinical analysis of misdiagnosis and mistreatment of mesenteric vein embolization:report of 8 cases

作　　者：宋创业[1] 王铁山[1] 

机构地区：[1]解放军第二五一医院腺体外科,河北张家口075000

出　　处：《中华普外科手术学杂志（电子版）》2011年第2期49-50,共2页Chinese Journal of Operative Procedures of General Surgery(Electronic Edition)

摘　　要：目的探讨肠系膜静脉栓塞(MVE)的误诊误治教训,以便减少误诊误治情况发生。方法回顾性分析自2006年6月至2009年12月收治的8例初诊时有明确误诊史的MVE病例。结果 8例患者手术时均已发生肠管坏死,6例治愈(75%),2例(25%)死亡。结论 MVE是一种起病缓慢、发病率低、临床表现随病情进展而复杂多样、误诊率较高的疾病,临床诊断不难,但临床医师对本病认识不足重视不够,常导致误诊误治。Objective To summarize the experience in misdiagnosis and mistreatment of mesenteric vein embolization.Methods Clinical data of 8 patients with misdiagnosis of mesenteric vein embolization（MVE） from June 2006 to December 2009 were analyzed retrospectively.Results The patients had bowel necrosis before surgery.Six patients were cured and 2 patients（25%） died.Conclusions MVE has a slow onset,a low incidence,differenct clinical manifestations.The misdiagnosis of the disease deserves much attention of physicans.

关 键 词：静脉血栓栓塞 肠梗阻 误诊 

分 类 号：R656.7[医药卫生—外科学]