急性肠系膜静脉血栓形成的诊断和治疗

Diagnosis and treatment of acute superior mesenteric venous thrombosis

目的 探讨肠系膜静脉血栓形成 (MVT)的诊断和治疗。方法 总结 11例肠系膜静脉血栓形成病人的诊治经验 ,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 ,术前明确诊断者 8例 ,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 ,随访无复发。结论 提高对该病的认识是早期诊断的关键 ,及时手术行肠切除是治疗本病的有效方法 ,切除足够范围肠段及早期抗凝治疗是预防复发的根本措施。

Objective To explore the diagnosis and treatment of mesenteric venous thrombosis(MVT). Methods Clinical data of 11 patients with MVT were summarized, and admitted the pathogenesis, clinical characteristics, diagnosis and treatment were analyzed. Results Eleven patients were all admitted for acute abdomen or intestinal obstruction. Eight patients were definitely diagnosed before operation, among them only 2 were definitely diagnosed within 24 hours. All patients got the surgical treatment, and were cured, without relapse during the follow up period. Conclusions Earlier definitive diagnosis and enterectomy on time is the key point of the treatment for MVT, and earlier conticoagulant therapy should be emphasized.