摘要
目的 探讨肠系膜上静脉血栓（SMVT）形成的临床诊断与治疗.方法 回顾性分析2000-2010年收治的14例SMVT的临床资料.结果 4例（4/14）经CT增强扫描、彩色多谱勒确诊.保守治疗有效3例（3/14）,11例连同含血栓形成的肠系膜坏死肠段切除,及经SMA注入尿激酶.术后继续溶栓抗凝治疗.痊愈11人,死亡3人.结论 SMVT早期诊断困难,彩色多谱勒及增强CT对诊断敏感,溶栓抗凝及手术是主要治疗手段.
Objective To explore the clinical manifestation,diagnosis and management of superior mesenteric venous thrombosis （SMVT）. Methods The clinical data of 14 patients with SMVT were analyzed retrospectively. Results Diagnosis was conformed in 4 cases with color duplex and contrast enhanced abdominal CT scan. Conservative treatment was effective in 3 （3/14）cases. Infarcted bowel with mesentery was resected and urokinase was filled in superior mesenterlc artery （SMA） in 11 cases. The anticoagulants and thrombolytic therapy continued after operation. 11 cases were cured and 3 cases died.Conclusion It was difficult to make the diagnosis of SMVT in early stage. Color duplex and contrast enhanced abdominal CT scan were sensitive tools to make the correct diagnosis. The main therapy of SMVT included anticoagulants and thrombolytic therapy and operation.
出处
《国际医药卫生导报》
2011年第4期409-411,共3页
International Medicine and Health Guidance News
关键词
肠系膜上静脉
血栓形成
血栓溶解疗法
外科手术
Superior mesenteric venous thrombosis（SMVT） Thrombolytic therapy Surgery
