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肠系膜上静脉血栓形成48例诊治分析

庞冲1,戚峰2,刘彤2,王鹏志2   

  1. 1. 天津医科大学总医院普外科
    2. 天津医科大学总医院
  • 收稿日期:2010-07-19 修回日期:2010-11-23 出版日期:2011-02-15 发布日期:2011-02-15
  • 通讯作者: 庞冲

Clinical analysis of mesenteric venous thrombosis:a report of 48 cases

  • Received:2010-07-19 Revised:2010-11-23 Published:2011-02-15 Online:2011-02-15

摘要: 目的 探讨急性肠系膜上静脉血栓形成的早期诊断及治疗方法。方法 回顾性研究了我院2000年5月至2010年4月收治的48例急性肠系膜上静脉血栓患者的临床资料,分析其发病原因,临床特点,以及诊断治疗方法。结果48例患者中男32例(66.7%),女16例(33.3%),平均年龄51.23岁。急诊手术19例(39.6%),中转手术6例(12.5%)。治愈23例(92.0%),死亡2例(8.3%)。非手术治疗23例(47.9%),治愈23例(100%)。出院后随访1至60个月,复发6例(12.5%),死亡1例。结论 肠系膜上静脉血栓与糖尿病,胰腺炎,高血压冠心病,血液高凝状态,长期口服避孕药,肝脏疾患有关,早期诊断、早期抗凝溶栓必要时及时手术是提高肠系膜上静脉血栓治愈率的关键。

关键词: 血栓形成, 肠系膜上静脉, 诊断, 治疗

Abstract: Object To assess early diagnosis and therapeutic management of mesenteric venous thrombosis (MVT). Methods The clinical data of 48 inpatients treated in our hospital from May 2000 to April 2010 was reviewed and incident cause,clinical features,diagnosis and treatment were analysied retrospectively. Results There were 32males(66.7%) and16 females(33.3%),the age ranged from 25 to 80 years old with a mean age of 51.23 years.19 cases (39.6%)were treated by emergency operation,6 cases(12.5%) needed surgical intervention.23 cases(92.0%) were cured,2 cases(8.3%) were died after operation.23 cases(47.9%) were cured with non-surgical management. 23 cases (100%)were cured.After follow-up one to sixty months,6 cases(12.5%)had MVT recurrence.one died. Conclusion :The risk factor of mesenteric venous thrombosis are DM, pancreatitis,cardiac,hypercoagulation, oral contraceptive,liver disease.Early diagnosis and anticoagulant thrombolytic therapy, permit radical surgery in time are key to improve the cure rate.

Key words: thrombosis, mesenteric venous, diagnosis, therapy