【摘要】 目的总结因门静脉高压症引起的肠系膜静脉血栓形成致绞窄性肠梗阻的诊断和治疗经验。方法我院自1993-2004年间共收治绞窄性肠梗阻154例,其中因门静脉高压症肠系膜静脉血栓形成致绞窄性肠梗阻11例,对其诊断和治疗作一回顾性分析。结果11例患者均出现不同程度的恶心、呕吐、上腹部胀痛,仅7例出现剧烈腹痛,5例出现不明原因的发热。所有患者均行手术治疗并证实为绞窄性肠梗阻,病因均为门静脉高压症所致的肠系膜静脉血栓形成,其中2例为保守治疗24 h后未见明显好转而剖腹探查时发现。行部分小肠切除8例,3例术中发现肠系膜广泛血栓形成而放弃手术。术后死亡5例,3例为广泛血栓形成患者,2例为小肠部分切除术后发生肝功能衰竭死亡。结论门静脉高压症肠系膜静脉血栓形成所致的急性绞窄性肠梗阻起病隐匿,常导致诊断困难而延误病情。更多还原

【Abstract】 Objective To investigate diagnosis and treatment of strangulated intestinal obstruction caused by mesentery vein thrombosis. Methods In this study, 154 patients with strangulated intestinal obstruction were reviewed in which the etiology was identified as mesentery vein thrombosis in 11 patients during a period from 1993 to 2004. Results All these 11 patients presented with abdominal pain, distension and vomit. Severe colic was noted in 7 cases and fever of unkown cause in 5 cases. The diagnosis was established by laparotomy. Eight patients underwent partial resection of the small intestine, 3 patients underwent open-close operation because of full length small intestine necrosis. Five died after operation including 3 cases of wide spreaded thrombosis. Conclusion The diagnosis of strangulated intestinal obstruction caused by mesentery vein thrombosis was difficult to establish because of the slow disease processes,hence the prognosis is often poor.更多还原