急性肠系膜静脉血栓形成早期诊治分析  

Early diagnosis and treatment of acute mesenteric venous thrombosis

作　　者：刘畅[1] 孙宏[1] 唐建伟[2] 

机构地区：[1]复旦大学附属金山医院急诊外科,上海200540 [2]复旦大学附属金山医院普外科

出　　处：《临床急诊杂志》2012年第6期387-388,共2页Journal of Clinical Emergency

基　　金：上海市卫生局课题(No:2011-261)

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240cm。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。Objective：To study clinical features,early diagnosis and treatment of acute mesenteric venous thrombosis（AMVT）.Method：13cases AMVT clinical data collected during the period of January 1996to October 2009were retrospectively analyzed.Result：4cases were diagnosed clearly before surgery,including two cases with conservative treatment.11cases were treated by surgical operation,an average of 240cm intestinal was resected.10cases were cured,3patients 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.ColorUS and CT-angiography is inevitable in early diagnosis of AMVT.

关 键 词：血栓形成 肠系膜静脉 诊断 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学]