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急性肠系膜静脉血栓的诊断和治疗 被引量:4

Diagnosis and Treatment for Acute Mesenteric Venous Thrombosis
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摘要 目的总结和分析肠系膜静脉血栓形成的经验体会。方法回顾1999~2006年间收治的12例MVT的诊断、治疗和预后。结果12例病人中治愈出院11例,1例死于术后MODS,随访1~3年,1例病人死于原发疾病肝功能衰竭,10例无复发。结论早期MVT缺乏特异性临床表现,CT等影像学检查是获取早期诊断的重要手段,及时的抗凝溶栓治疗可阻止血栓蔓延,尽可能恢复肠血运。手术不可避免时,处理坏死肠管和取出系膜静脉血栓视为标准术式。 Objective To sum up and analyse the experience of mesenteric venous thrombosis. Methods We analysed the diagnosis, treatment and prognosis of 12 cases with MVT from 1999 to 2006 retrospectively. Results In 12 cases, 11 cases were cured, 1 case died of MODS. After 1 to 3 years following up, I case died of primary liver dysfunction and 10 cases without recurrence. Conclusion MVT lacks of specific clinical features in early stage, while CT is the important diagnoses way. Anticoagulation and thromblysis can prevent thrombosis and recover blood circulation.
出处 《中国现代医生》 2008年第7期41-42,共2页 China Modern Doctor
关键词 肠系膜静脉血栓 诊断 治疗 Mesenteric venous thrombosis Diagnosis Treatment
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