脾切除术后肠系膜上静脉血栓形成八例诊治分析

目的　探讨脾切除术后肠系膜上静脉血栓形成的诊断及治疗。方法　回顾性分析1990年 1月～ 2 0 0 0年 8月收治的 8例患者诊治资料。结果　 6例痊愈 ,2例死亡。结论　脾切除术为肠系膜上静脉血栓形成的易患因素。彩色超声、CT、选择性血管造影对该病早期诊断具有重要意义。早期手术及持续有效地抗凝治疗是降低本病死亡率的关键。

The diagnosis and treatment of superior mesenteric venous thrombosis following splenectomy--A report of 8 cases

Objective To study the diagnosis and treatment of superior mesenteric venous thrombosis following splenectomy.Method The clinical data of diagnosis and treatment in 8 case of superior mesenteric venous thrombosis from Feb. 1990 to Aug. 2000 were retrospectively analyzed. Result Among the 8 cases of superior mesenteric venous thrombosis, 6 patents were completely recovered and 2 dead.Conclusions Splenectomy is the apt factor to superior mesenteric venous thrombosis. Color ultrasonic Doppler, CT and selective angiography are very important for the early diagnosis of the disease. Early operation and continuous and effective anticoagulant therapy are the keys to decrease the mortality of the disease.