急性门静脉系统血栓形成临床诊治研究  

Clinical analysis of acute thrombosis of the portal venous system

作　　者：张树荣[1] 陈代陆[1] 陈兵[1] 徐波[1] 李绕梅[1] 范宗江[1] 

机构地区：[1]成都军区昆明总医院消化内科,云南昆明650032

出　　处：《安徽医药》2014年第1期94-97,共4页Anhui Medical and Pharmaceutical Journal

摘　　要：目的探讨急性门静脉系统血栓形成的临床特征,以提高对该病的认识。方法对该院在2002年1月—2011年12月的10年间共收治的17例急性门静脉系统血栓形成患者的临床资料进行回顾分析,并结合文献进行复习。结果 17例患者均急性起病,主要症状为腹痛、腹胀、纳差。其中,单纯门静脉血栓形成4例(23.5%),单纯肠系膜上静脉血栓形成6例(35.3%),门静脉、肠系膜上静脉及脾静脉均有血栓形成7例(41.2%)。经肠系膜上动脉置管溶栓治疗5例,经外周静脉溶栓或抗凝治疗11例,肠切除术1例。17例患者治愈7例,好转6例,自动出院3例,死亡1例。结论急性门静脉系统血栓形成临床上少见,但进展快,病情危重,早期溶栓治疗效果较好。临床医务人员要不断提高对该病的认识,早诊早治,减少误诊。Objective To investigate the clinical characteristics of acute thrombosis of the portal venous system in order to improve the knowledge of this disease. Methods The clinical dsta of 17 patients with acute portal venous system thrombosis was analyzed retrospectively and relevant literatures were reviewed. Results All of 17 patients were acute onset. The major clinical manifestations of the patients were abdominal pain, abdominal distension and loss of appetite. Among them,4 cases （ 23.5% ） were with portal vein thrombosis,6 （35.3%） with superior lnesenteric venous thrombosis and 7 （41.2%） with portal vein,superior lnesenteric vein and splenic vein thrombosis. The therapic methods were superior mesenteric artet7 catheter throlnbolysis in 5 cases,intravenous throlnbolysis or anticoagulation in 11,and intestinal resection in 1. seven cases were cured,6 ilnproved,3 disclmrged without any treatment and 1 died. Conclusions Acute portal vein thrombosis is rare in clhtic,but the progress is quick and the pathogenetic condition is critical. Throlnbolytic therapy has good effect. Clinicians should ilnprove the awareness of early diagnosis and early treatment in order to reduce lnisdiagnosis.

关 键 词：门静脉血栓形成 肠系膜静脉血栓形成 临床表现 诊断 治疗 

分 类 号：R575.2[医药卫生—消化系统]