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急性肠系膜静脉血栓形成临床分析
引用本文:陶霖玉,喻军,林宗伟,冯铎,杨超.急性肠系膜静脉血栓形成临床分析[J].中国基层医药,2004,11(8):943-944.
作者姓名:陶霖玉  喻军  林宗伟  冯铎  杨超
作者单位:518052,广东深圳市南山医院普外科
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。

关 键 词:急性肠系膜静脉血栓形成  诊断  治疗  病因  致病因素
修稿时间:2004年3月12日

The diagnosis and management of acute mesenteric venous thrombosis
TAO Linyu,YU Jun,LIN Zongwei.The diagnosis and management of acute mesenteric venous thrombosis[J].Chinese Journal of Primary Medicine and Pharmacy,2004,11(8):943-944.
Authors:TAO Linyu  YU Jun  LIN Zongwei
Institution:TAO Linyu,YU Jun,LIN Zongwei.Department of General Surgery,Shenzhen Nanshan Hospital,Guangdong,518052,China
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.
Keywords:Thrombosis  Mesenteric vein  Diagnosis
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