临床误诊误治Issue(9)：62-64,3.DOI:10.3969/j.issn.1002-3429.2014.09.023
易栓症致肠系膜上静脉及门静脉血栓形成并肠梗阻诊治讨论
Thrombophilia Lead to Superior Mesenteric Vein and Portal Vein Thrombosis Complicated by Intestinal Obstruc-tion:Analysis of Diagnosis and Treatment
白俊芳 1王继恒 2韩英2
作者信息
- 1. 山西医科大学研究生院
- 2. 100700 北京，北京军区总医院消化内科
- 折叠
摘要
Abstract
Objective To improve the recognition about the clinical characteristics of thrombophilia, and decrease the misdiagnosis. Methods The clinical features of a case of thrombophilia started with intestinal obstruction symptoms was retro-spectively analyzed and pertinent literature was reviewed. Results The patient was admitted to hospital for the symptoms of chronic incomplete intestinal obstruction, with previous history of lower limb deep vein thrombosis. The imaging signs outside the hospital showed portal vein (PV) and superior mesenteric vein (SMV) thrombosis, and intestinal obstruction symptoms in the patient persisted after given with thrombolysis and anticoagulation therapy. After transferring to our hospital and learning his fa-milial history of thrombotic disease, we checked the homocysteine assay, protein C, protein S, anti-proteaseⅢand activated protein C, and the results were all abnormal, and then inherited thrombophilia was diagnosed. The patient was transferred to sur-gical department and underwent bowel resection and anastomosis, and postoperative recovery was good. Conclusion Thrombo-philia involving abdominal vascular is reported in less clinical literature, clinicians should be alert to the possibility of the throm-bophilia in patients with intra-abdominal venous thrombosis in order to achieve the purpose of early diagnosis and treatment.关键词
血栓形成倾向/肠系膜静脉/门静脉/肠梗阻Key words
Thrombophilia/Mesenteric vein/Portal vein/Intestinal obstruction分类
医药卫生引用本文复制引用
白俊芳,王继恒,韩英..易栓症致肠系膜上静脉及门静脉血栓形成并肠梗阻诊治讨论[J].临床误诊误治,2014,(9):62-64,3.
