| 影响肠系膜静脉血栓预后的相关因素分析 |
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| 引用本文： | 陈建立,张国志,陈俊卯,赵永奎,崔明新.影响肠系膜静脉血栓预后的相关因素分析[J].中国全科医学,2012,15(12):1389-1390. |
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| 作者姓名： | 陈建立 张国志 陈俊卯 赵永奎 崔明新 |
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| 作者单位： | 河北联合大学附属医院普通外科,河北省唐山市,063000 |
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| 基金项目： | 河北省卫生厅2010年医学科学研究重点课题 |
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| 摘 要： | 目的评估影响肠系膜静脉血栓(MVT)预后的相关因素。方法回顾性分析河北联合大学附属医院1995—2008年38例MVT患者的临床资料,包括性别、年龄、临床表现、既往史、辅助检查、治疗方法等,记录30 d死亡率和2年生存率,采用fisher精确检验和COX比例风险模型对相关因素进行分析。结果与30 d死亡率密切相关的因素为外科手术、结肠缺血。与2年生存率有关的因素为小肠<100 cm。结论外科手术、结肠缺血是影响MVT短期死亡率的相关因素,小肠<100 cm是影响MVT长期生存率的相关因素。
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| 关 键 词： | 肠系膜静脉 静脉血栓形成 抗凝药 外科手术 |
Prognostic Factors in Patients with Mesenteric Venous Thrombosis |
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| Institution: | CHEN Jian-li,ZHANG Guo-zhi,CHEN Jun-mao,et al.Department of General Surgery,the Affiliated Hospital of Hebei United University,Tangshan 063000,China |
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| Abstract: | Objective To study the prognostic factors in patients with mesenteric venous thrombosis. Methods Clinical data of 38 MVT patients admitted to Affiliated Hospital of Hebei United University from 1995 to 2008 were retrospectively analyzed,including sex,age,clinical features,disease history,assistant examination and treatment.The mortality rates of 30 days and 2 years survival rate were recorded.Related factors were analyzed by FISHER exact test and Cox Proportional Hazard Model. Results Prognostic factors for 30 days mortality rate were surgical operation and colonic ischemia,while prognostic factor for 2 years survival rate was small intestine<100 cm. Conclusion Short-term survival rate is associated with operation and colonic ischemia.While long-term survival rate is associated with small intestine<100 cm. |
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| Keywords: | Mesenteric venous Venous thrombosis Anticoagulants Surgical procedures |
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