腹部术后肠系膜静脉血栓形成的临床特点分析

目的：探讨腹部手术后肠系膜静脉血栓形成的诊断及治疗规律。方法：回顾性分析4例腹部手术后肠系膜上静脉血栓形成的病人的诊治情况。结果：所有患初期症状重而体征轻，再次手术前仅1例确诊。4例患经手术及病理证实，全部经手术治愈。结论：该病症状和体征无特异性。腹部手术后发生剧烈腹痛应想到本病的可能性，彩色多普勒超声，CT检查是诊断本病的敏感方法，早期行受累肠管及其系膜切除，有门静脉血栓时行门静脉取栓及早行抗凝治疗是本病治疗的关键。

Clinical Specificity of Mesenteric Venous Thrombosis after Abdominal Operation

Objective To evaluate the rule of diagnosis and treatment for postoperative abdominal mesenteric venous thrombosis. Method The diagnosis and treatment were reviewed retrospectively in 4 cases with postoperative abdominal mesenteric venous thrombosis. Results The symptoms were severe but the physical signs were slight at the early stage in all the patients. Only 1 case was diagnosed before the reoperation. The diagnosis of the 4 cases were comfirmed by operation and pathology. All patients were cured. Conclusions There was no specificity in complaints and signs in this disease, severe abdominal pain after an abdominal operation suggests the presence of the possibility of this disease. Doppler color flow imaging and CT examination are sensitive diagnostic way for this disease. To resect the related intestine with its mesentery and to remove the thrombus in the portal vein when it presentad there, and to use anticoagulant are the keys of treating this disease.