肠系膜静脉血栓误诊为胰腺炎1例及文献复习  

Mesenteric vein thrombosis misdiagnosed as acute pancreatitis in one case and literature review

作　　者：刘彦玲[1] 谢苗荣[1] 王艳[1] 李科[1] 王国兴[1] 邓彦俊[1] 吴兰[1] 

机构地区：[1]首都医科大学附属北京友谊医院,北京100050

出　　处：《暨南大学学报（自然科学与医学版）》2016年第5期424-429,共6页Journal of Jinan University(Natural Science & Medicine Edition)

基　　金：北京市医院管理局青年人才培养"青苗"计划(QML20150104)

摘　　要：目的:加深临床医生对肠系膜静脉血栓的深入认识,为今后降低误诊率及提高诊疗有效率提供经验教训.方法:结合1例肠系膜静脉血栓误诊胰腺炎的年轻患者的诊断,复习相关文献,总结分析近20年该病的发病、诊疗及死亡等情况.结果:凡是可造成身体其他部位血栓形成的因素均可引起肠系膜静脉血栓形成;常规辅助检查无特异性;多被误诊为常见急腹症;大部分确诊时已肠坏死;术后未予抗凝治疗及出现合并症为常见死因.结论:通过1例肠系膜静脉血栓误诊为胰腺炎的报告及文献复习,加深了肠系膜静脉血栓的认识,对临床治疗提供经验教训.Aim：To deepen the in-depth understanding of mesenteric vein thrombosis to clinical doctor, and to decrease the misdiagnosis rate and improve the diagnosis and treatment rate and provide experience and lessons.Methods：To combine one case of mesenteric vein thrombosis misdiagnosed as acute pancreatitis and review the related literature to summarizes the analysis the pathogenesis,diagnosis and treatment and death of the disease in recent 20 years.Results：Any factors can result thrombosis in other parts of the body can cause mesenteric vein thrombosis;Routine auxiliary examination without specificity;More misdiagnosed as common acute abdominal disease;Most of the confirmed have bowel necrosis;no postoperative anticoagulation and complication occurred as the common cause of death.Conclusion：Through one case report of mesenteric vein thrombosis misdiagnosed as acute pancreatitis and literature review,to deepen the understanding of the mesenteric vein thrombosis,and provide lessons for clinical treatment.

关 键 词：肠系膜静脉血栓 误诊 胰腺炎 文献复习 

分 类 号：R657.2[医药卫生—外科学]