肠系膜静脉血栓形成七例临床分析

Clinical analysis of 7 cases of mesenteric venous thrombosis

为探讨肠系膜静脉血栓形成的临床诊治经验，作者从病理生理、病因、致病因素、临床表现、诊断及治疗等方面对肠系膜静脉血栓形成进行了探讨。作者１９８４年至１９９６年收治了肠系膜静脉血栓形成患者７例，全部经手术治疗并经病理证实。本组７例患者经手术及抗凝治疗，其中５例治愈，２例死亡。作者认为此病大多数以急腹症就诊，术前要做出正确诊断有一定难度。对可疑病例必须进行严密观察及适时开腹探查。为降低死亡率，必须彻底切除包括外观正常但含有血栓系膜的肠袢，此外应早期、足量给予抗凝治疗。

patients with mesenteric venous thrombosis(MVT) were treated in Anzhen Hospital from 1984 to 1996. The patients were all operated on and the diagnosis was confirmed pathologically. Fine patients were cured and 2 died. We discussed the pathophsiology,pathogeny, clinical manifestation,diagnosis and treatment of MVT. Most of the patients presented with a clinical picture of acute abdomen and the diagnosis was made only at laparotomy. Close observation and proper laparotomy should be given to the doubtful cases. To reduce the mortality rate of MVT, we resected the bowel which looks normal in appearance but comprises the mesentery of thrombosis. Adequate anticoagulant therapy should be given as early as possible.