【摘要】 目的:探讨急性肠系膜静脉血栓(acute mesenteric venous thrombosis,AMVT)的诊断与治疗。方法:对1998年至2005年收治的13例AMVT患者资料作回顾性研究。结果:13例经彩色多普勒、CT、MRI、手术及病理证实,11例行坏死肠段切除,2例死亡。结论:AMVT是一种少见病,临床上多以急腹症就诊,并具有症状与体征不符的特点。提高对本病的认识,及时应用彩色多普勒、CT、MRI检查对早期诊断有重要意义。围术期采取恰当的溶栓、抗凝治疗是防止复发、降低病死率的重要措施。手术治疗适用于出现腹膜炎等肠坏死征象的病例。更多还原

【Abstract】 Objeetive:To investigate the diagnosis and treatment of acute mesenteric venous thrombosis(AMVT). Methods: 13 patients with AMVT admitted in our hospital from 1998 to 2005 were studied retrospectively. Results: 13 patients were diagnosed by color Doppler, CT, MRI, and pathology. Of these patients, 11 were treated by enterectomy and 2 cases died. Conclusion: AMVT is a rare disorder. The patients usually consulted in the hospital with presentation of surgical abdomen. The symptom inconsistent with signs is a characteristic of AMVT. Awareness of AMVT and employment of color Doppler, CT and MRI are helpful for early diagnosis. Correct thrombolysis and anticoagulant therapy in the perisurgical period is the important management of AMVT to prevent recurrence and reduce the mortality. The surgical treatment is appropriate for the patients with presentation of acute peritonitis resulted from intestinal necrosis.更多还原