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| 肠系膜上静脉血栓误诊1例 | |
| 引用本文： | 司天昌,牛建栋. 肠系膜上静脉血栓误诊1例[J]. 实用医技杂志, 2008, 15(4) |
| 作者姓名： | 司天昌 牛建栋 |
| 作者单位： | 晋城市周村中心卫生院,山西,晋城,048017 |
| 摘 要： | 1病例报告男,40岁。主因腹痛5h,稀水样便3次~4次,在院外服药治疗(药名不祥)效果不佳,在门诊诊断为肠炎,收内科住院治疗,给氨苄青霉素5g,庆大霉素32万U,输液、止痛等治疗。患者患病12h后疼痛未见减轻,且辗转不安,疼痛难忍,伴恶心、呕吐3次,请外科会诊后,诊断为阑尾炎转外科治疗。查体:T37.1℃,P102次/min,R28次/min,BP16/10.5kPa,神志清楚,痛苦表情,被动体位,全身皮肤及黏膜无黄染及出血点,全身浅表淋巴结无肿大,心肺听诊无异常,腹部膨隆,腹肌紧张,全腹压痛(+),尤以右下腹压痛及反跳痛明显。肝、胆、脾触及不满意,移动性浊音(±),肠鸣音消失。既往史:4a前曾患肝炎、肝硬化。血常规:Hb140g/L,WBC15.7×109/L,N0.80,L0.20,尿常规,尿蛋白(-),白细胞:无,血糖5.54mmol/L。B超:上腹探查:肝脏缩小,被膜不光整,肝实质回声增粗,肝内血管显示不清,Pv1.4cm,脾脏增大,肋下可及3.0cm,厚4.0cm,Spv0.9cm,于右下腹可见少量腹水。提示:肝硬化;脾大;右下腹包块,结合临床。术后补充肝功能检查:GOT100μ/L,GPT48μ/... |
| 关 键 词： | 肠系膜上静脉血栓 诊断 误诊 |
Misdiagnosis of one Cases with Thrombus in Superior Mesenteric Vein |
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| SI Tian-chang,NIU Jian-dong. Misdiagnosis of one Cases with Thrombus in Superior Mesenteric Vein[J]. Journal of Practical Medical Techniques, 2008, 15(4) | |
| Authors: | SI Tian-chang NIU Jian-dong |
| Affiliation: | SI Tian-chang; NIU Jian-dong(Zhoucun Central Hospital of Jincheng; Jincheng; Shanxi 048017; China); |
| Abstract: | Thrombus in superion mesenteric vein Diagnosis Misdiagnosis |
| Keywords: | Thrombus in superion mesenteric vein Diagnosis Misdiagnosis |
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