【摘要】 作者报告了１９６７年～１９９５年收治的肠系膜静脉血栓形成患者１６例的治疗经验。患者初诊主诉均为腹痛，１３例有明显易患因素。１例经彩色多普勒超声诊断，行抗凝治疗后病情缓解出院，其余１５例均行手术治疗。术前仅１例确诊，误诊１４例。术后死亡７例，治愈８例。作者认为该病易患因素、症状与体征不相称的特点以及彩色多普勒超声、ＣＴ、选择性血管造影对早期诊断有重要意义。早期手术切除受累肠管及其系膜、及早行抗凝治疗是降低本病死亡率和复发率的关键。更多还原

【Abstract】 From 1967 to 1995, we treated 16 patients with mesenteric venous thrombosis (MVT).Major complaint was abdominal pain,and 13 patients had predisposing factors.One was diagnosed by color Doppler ultrasonography and cured by anticoagulant,14 were misdiagnosed,7 died postop eratively, and 8 cured.Early diagnosis lies on predisposing factors,discordance of symptoms and signs,color Doppler ultrasonography, CT, and angiography.Early operation for removing the involved intestine with its mesentery and early application of anticoagulant are essential to decrease the mortality and recurrence.更多还原