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肠系膜上静脉血栓形成14例诊治分析

袁超杰 伍宏章 何仕青 曹健 黄俊明 赵强

国际医药卫生导报2011,Vol.17Issue(4):409-411,3.
国际医药卫生导报2011,Vol.17Issue(4):409-411,3.DOI:10.3760/cma.j.issn.1007-1245.2011.04.011

肠系膜上静脉血栓形成14例诊治分析

Diagnosis analysis on 14 cases of superior mesenteric venous thrombosis

袁超杰 1伍宏章 1何仕青 1曹健 1黄俊明 1赵强1

作者信息

  • 1. 529200,台山市人民医院肝胆外科
  • 折叠

摘要

Abstract

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.

关键词

肠系膜上静脉/血栓形成/血栓溶解疗法/外科手术

Key words

Superior mesenteric venous thrombosis(SMVT)/Thrombolytic therapy/Surgery

引用本文复制引用

袁超杰,伍宏章,何仕青,曹健,黄俊明,赵强..肠系膜上静脉血栓形成14例诊治分析[J].国际医药卫生导报,2011,17(4):409-411,3.

国际医药卫生导报

1007-1245

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