摘要
目的探讨急性肠系膜静脉血栓形成的诱因、诊断和治疗。方法回顾性分析我院收治的15例急性肠系膜静脉血栓形成的临床资料。结果 10例治愈,5例死亡(死亡率33.3%)。10例(66.7%)有明显诱因,脾切除术后及门脉高压多见。15例患者均有持续性渐行加重的腹痛,腹痛和体征多不相符。常见伴随症状有腹胀(11/15)、恶心呕吐(9/15)、发热(9/15)、便血(5/15)等。腹部平片及超声检查多提示间接征象,确证率低。术前误诊12例,误诊率75%。结论急性肠系膜静脉血栓临床表现缺乏特异性,误诊率和死亡率高。提高对该病的认识及早行适当治疗及预防复发是改善预后的关键。
Objective To explore the inducement,diagnosis and treatment of acute mesenteric venous thrombosis.Methods Retrospectively review the clinical data including clinical manifestations,diagnosis and treatment of 15 cases of acute mesenteric venous thrombosis（MVT） in Shandong Provincial Hospital.Results 10 cases were cured and 5 died（mortality rate was 33.3%）.Obvious inducements were found in 10 cases（66.7%）,mainly splenectomy and portal hypertention.15 cases suffered continuous progressive abdominal pain,which not paralleled with abdominal signs.Other main symptoms included abdominal distention（11/15）,nausea and vomiting（9/15）,fever（9/15） and bloody stool（5/15）.In abdominal plain films and ultrasonic examinations,indirect signs not exact diagnosis were reported.12 cases were misdiagnosised before operations,misdiagnosis rate was 75%.Conclusion Due to few specificity of the clinical manifestations of MVT,misdiagnosis rate and mortality rate were high.More attention,early treatment and recurrence prevention were keys to improve prognosis.
出处
《中国现代药物应用》
2010年第18期34-36,共3页
Chinese Journal of Modern Drug Application
关键词
肠系膜静脉血栓形成
急腹症
诊断
治疗
Mesenteric venous thrombosis
Acute abdomen
Diagnosis
Treatment
