13例急性肠系膜静脉血栓的诊治分析

The analysis of diagnosis and treatment for 13 cases of acute mesenteric venous thrombsis

目的 探讨肠系膜静血栓形成的早期诊断方法及术后速碧林等抗凝药物的治疗价值.方法 回顾性分析我院13例肠系膜静脉血栓患者的临床资料,术前主要采取影像学检查结合D-二聚体的含量的测定来确诊,术中、术后均采取速碧林皮下注射结合华发令口服以抗凝治疗.结果 13例患者10例患者术后无再次发生血栓形成,没有出血等严重并发症出现.结论 影像学检查结合D-二聚体的含量的测定是一种比较可靠的肠系膜静血栓形成的早期诊断方法,而速碧林是针对肠系膜静脉血栓术后抗凝治疗的一种简便有效而并发症轻微的抗凝剂.

Objective To assess the the early methods of diagonisement and the valuement of FraxiParine for mesenteric venous thrombsis （MVT）. Methods The clinical data of 13 cases with mesenteric venous thrombsis（MVT） were analyzed retrospectively,the medical -imaging and the detection of D - dimmer were the maine examination before operation. FraxiParine and Warfarline was adapoted in order to anti - congulate during and after the operation. Results The thrombosis and serious syndrom such as hemorrhage no more appeare during 10 of 13 cases. Conclusion The medical - imaging and the detection of D - dimmer together are the more reliable early diagnostic methods,and FraxiParine is a kind of anticoagulant which curative effect is simple and effective with the light complications .