肠系膜静脉血栓并肠坏死的诊治

The Treatment of Mesenteric Veno-occlusive Necrotic Bowel Disease

目的:探讨肠系膜静脉血栓并肠坏死的临床表现、诊断及治疗方法。方法:对3例肠系膜静脉血栓并肠坏死的临床表现、诊断、治疗、病理进行分析,并复习相关文献。结果:肠系膜静脉血栓并肠坏死临床上较为少见,早期症状不明显,确诊较为困难,后期病情危重,不采取外科干预死亡率较高。术后合理运用抗凝药物治疗。结论:肠系膜静脉血栓并肠坏死症状无特异性,容易误诊。后期病情凶险,适时外科干预是治疗的关键。

Objective：To investigate the clinical manifestation,diagnosis and treatment of mesenteric veno-occlusive necrotic bowel disease.Methods：3 cases of mesenteric veno-occlusive necrotic bowel disease were analyzed and reviewed the relative literatures.Results：Mesenteric veno-occlusive necrotic bowel disease occurred rarely and had no specific symptom,it was difficult to make a definite diagnose,pathogenetic condition was dangerous,the mortality was high if do not take surgery.Making use of the anticoagulant postoperation was available.Conclusion：Meseteric veno-occlusive necrotic bowel disease has no characteristic symptoms and is easily misdiagnosed.Early diagnosis and surgical treatment is critical.