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急性肠系膜静脉血栓形成30例临床分析

Analysis of diagnose and treatment of 30 cases with acute mesenteric venous thrombosis
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摘要 目的分析急性肠系膜静脉血栓形成的临床特点和治疗。方法对我院30例急性肠系膜静脉血栓患者的临床资料进行回顾性分析,并结合文献总结急性肠系膜静脉血栓的临床特点、诊断及治疗方法。结果30例急性肠系膜静脉血栓患者,年龄19~78岁,平均年龄51.9岁。手术治疗19例,死亡7例;溶栓治疗11例,放弃治疗1例。结论腹部CT可对早期急性肠系膜静脉血栓做出正确的诊断,早期溶栓或手术治疗可以降低死亡率。 Objective To analyze the clinical diagnosis and treatment of acute mesenteric venous thrombosis. Methods We reviewed the medical records of all 30 patients who diagnosed with acute mesenteric venous thrombosis (AMVT) in Peking Friendship Hospital from Oct 1985 to Dec 2008. Resuits Thirty cases ( median,51.9 years ; range, 19 - 78 years) were acute mesenteric venous thrombosis. Of these cases, 19 cases were treated by operation and 7 cases died. 11 cases were treated by thrombolysis, 1 case abanded treatment for deterioration after perforation. Conclusions The clinical diagnosis of AMVT can be confirmed on the basis of abdominal CT scan. Early treatment with especially thrombolysis or operation can decrease the death rate.
出处 《临床内科杂志》 CAS 2009年第9期615-616,共2页 Journal of Clinical Internal Medicine
关键词 急性肠系膜静脉血栓 诊断 治疗 Acute mesenteric venous thrombosis Diagnose Treatment
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