急性肠系膜静脉血栓形成的误诊原因分析

Causes of the Wrong Diagnosis on Acute Superior Mesenteric Venous Thrombosis

目的 探讨急性肠系膜静脉血栓形成 (MVT)的误诊原因及早期诊断方法。方法 分析 11例肠系膜静脉血栓形成病人的诊治经过 ,结合文献分析MVT的发病机理、临床特点、诊断和治疗。结果 11例病人均以急腹症或肠梗阻收住院 ,其中发病 2 4h内确诊者仅 2例。全部患者行手术治疗 ,均治愈。结论 提高对该病的认识是减少误诊的关键 ,及时手术行肠切除是治疗本病的有效方法 。

Objective To find out the causes of the wrong diagnosis on mesenteric venous thrombosis(MVT). Methods The treatment course of 11 patients with MVT,the origination, clinical character, diagnosis and treatment were summarized and analyzed. Results 11 patients were all received with acute abdomen or intestinal obstruction, but only 2 patients were definitely diagnosed in 24 hours. All of the patients were given surgical treatment, and all cured.Conclusions The key question to decrease wrong diagnosis is to increase the recognition of the disease. The effective method to treat the disease is performing enterectomy on time. The basic measure to prevent relapse is cutting enough scope enterectomy and giving earlier anticoagulant therapy.