摘要
目的探讨急性肠系膜血管阻塞性疾病的诊断和治疗方法。方法对我院自2000年1月至2008年12月收治的16例急性肠系膜血管阻塞性疾病的临床资料进行回顾性分析。结果16例患者中有9例为急性肠系膜静脉血栓形成，7例为急性肠系膜动脉闭塞性疾患，其中1例同时存在肠系膜静脉以及动脉的闭塞。腹部X线以及B超检查对于该病诊断敏感性较低，而增强CT扫描则有较高敏感性。手术治疗13例，围手术期死亡3例，3例急性肠系膜静脉血栓形成患者保守治疗成功。结论增强CT检查对于急性肠系膜血管阻塞性疾病有较高的诊断价值。早期诊断、积极的抗凝治疗、适时的手术干预是提高治疗效果的关键。
Objective To examine the clinical management of acute mesenteric vascular occlusion. Methods Clinical data about 16 patients with acute mesenteric vascular occlusion who were admitted to our hospital from January 2000 to December 2008 were retrospectively analyzed. Results There were 9 patients with acute mesenteric venous thrombosis （MVT）,7 with acute mesenteric arterial occlusion （MAO） ,and 1 with both MVT and MAO. Contrast -enhanced computed tomography was performed in 14 patients and arrived at the correct diagnosis in 12 patients. Thirteen patients underwent sur- gery. Three patients died. Three MVT patients were successfully managed conservatively. Conclusion Contrast - enhanced computed tomography is valuable in the diagnosis of acute mesenteric vascular occlu- sion. Early diagnosis and prompt initiation of anticoagulation therapy, which are combined with operative intervention when indicated, are essential for a favorable outcome.
出处
《临床外科杂志》
2010年第6期395-396,共2页
Journal of Clinical Surgery
关键词
肠系膜血管闭塞
血栓形成
诊断
mesenteric vascular occlusion
thrombosis
diagnosis
