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急性肠系膜静脉血栓形成临床分析

The diagnosis and management of acute mesenteric venous thrombosis

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【作者】 陶霖玉喻军林宗伟冯铎杨超

【Author】 TAO Linyu,YU Jun,LIN Zongwei.Department of General Surgery,Shenzhen Nanshan Hospital,Guangdong,518052,China

【机构】 广东深圳市南山医院普外科广东深圳市南山医院普外科 518052518052

【摘要】 目的 探讨急性肠系膜静脉血栓形成 (AMVT)的诊断与治疗方法。方法 对 8例AMVT患者资料进行回顾性分析。结果  6例手术治疗 ,2例非手术治疗 ,其中 1例死于术后中毒性休克。结论 早期诊断 ,早期抗凝、缓解血管痉挛和及时的手术干预是改善AMVT患者预后的主要措施。CT和彩色多普勒对该病的诊断有很大帮助 ,选择性血管造影可明确诊断。

【Abstract】 Objective To evaluate the progress in diagnosis and management of acute mesenteric venous thrombosis(AMVT).Methods 8 patients with AMVT from June 1995 to October 2003 were reviewed retrospectively.Results 6 patients underwent an operation to resect the small intestine about 200cm long on average,1 patient only 40cm’s small intestine remained;2 patients received non-operative treatment.7 patients were cured,while 1 died.Conclusion Early diagnosis,early anticoagulation,early spasmolysis and timely operation are the main steps to improve the AMVT sufferers’ prognosis.CT and the colored Doppler are helpful to diagnose AMVT,and the optional angiography may make definite diagnosis.Furthermore,the thrombosis therapy by conduit intervention is a good method in early phase.

【关键词】 血栓形成肠系膜静脉临床诊断
【Key words】 ThrombosisMesenteric veinDiagnosis
  • 【文献出处】 中国基层医药 ,Chinese Journal of Primary Medicine Pharmacy , 编辑部邮箱 ,2004年08期
  • 【分类号】R572.3
  • 【被引频次】3
  • 【下载频次】21
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