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41例急性肠系膜静脉血栓形成的临床诊治体会
引用本文:魏小龙,赵志青,景在平,梅志军,包俊敏,曲乐丰,冯睿,陆清声. 41例急性肠系膜静脉血栓形成的临床诊治体会[J]. 外科理论与实践, 2009, 14(1): 62-64
作者姓名:魏小龙  赵志青  景在平  梅志军  包俊敏  曲乐丰  冯睿  陆清声
作者单位:第二军医大学长海医院血管外科,上海,200433
摘    要:目的:探讨急性肠系膜静脉血栓形成的诊治问题。方法:回顾性分析我科2000年1月至2008年1月收治的41例急性肠系膜静脉血栓病人的临床资料,根据治疗方法分为手术治疗组及非手术治疗组,并比较其治疗结果。结果:非手术治疗31例,治愈30例,死亡1例。手术治疗10例(含保守治疗无效中转手术2例),治愈8例,死亡2例。全组共治愈38例(92.7%),死亡3例(7.3%);术后随访1~8年,复发3例。结论:急性肠系膜静脉血栓形成应以抗凝治疗为基础,无明显肠管坏死表现者尽早给予溶栓治疗,并把握手术时机,可进一步改善病人预后。

关 键 词:肠系膜静脉  血栓性静脉炎  血栓溶解疗法  抗凝药  外科手术

Diagnosis and treatment of acute mesenteric venous thrombosis in 41 cases
WEI Xiao-long,ZHAO Zhi-qing,JING Zai-ping,MEI Zhu-jun,BAO Jun-min,QU Le-feng,FENG Rui,LU Qing-sheng. Diagnosis and treatment of acute mesenteric venous thrombosis in 41 cases[J]. Journal of Surgery Concepts & Practice, 2009, 14(1): 62-64
Authors:WEI Xiao-long  ZHAO Zhi-qing  JING Zai-ping  MEI Zhu-jun  BAO Jun-min  QU Le-feng  FENG Rui  LU Qing-sheng
Affiliation:.( Department of Vascular Surgery, Changhai Hospital, The Second Military Medical University, Shanghai 200433, China)
Abstract:Objectives To evaluate the clinical diagnosis and treatment of acute mesenteric venous thrombosis. Methods Clinical data from 41 patients with acute mesenterie venous tbrombosis(AMVT) from January 2000 to January 2008 were analyzed retrospectively. Results Of 31 patients submitted to non-operative procedures including thrombolysis or anticoagulation, 30 patients cured and one died; Of 10 patients submitted to open surgery, including 2 cases transferred to operation, 8 patients cured and 2 died. There were 3 cases of recurrence during follow-up from 1 to 8 years. Conclusions Early diagnosis and anticoagulation treatment will preserve the bowel viability and decrease the mortality and mobidity rates of AMVT. the majority of patients do not need surgery. Thrombolysis should be applied in AMVT patients without evidence of bowel necrosis.
Keywords:Mesenteric veins  Thrombophlebitis  Thrombolytic therapy  Anticoagulants  Surgery
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