肠系膜静脉血栓形成的误诊分析

Analysis of Misdiagnosis of Mesenteric Venous Thrombosis

目的 分析肠系膜静脉血栓形成 (MVT)的误诊原因以求减少误诊。 方法 通过对 1987年～2 0 0 2年我院收治的 12例MVT进行回顾性分析。 结果 12例MVT均被分别误诊为急性胰腺炎、肠梗阻、急性出血坏死性肠炎、肠痉挛、急性腹膜炎、急性阑尾炎。 结论 MVT缺乏特异性症状和体征 ,易被误诊。早期识别是减少误诊提高疗效的关键。

Objective To analyze the causes of misdiagnosis of mesenteric venous thrombosis(MVT)and reduce misdiagnosis.Methods 12 patients with MVT from 1987 to 2002 in our hospital were analyzed retrospectively.Results 12 cases were misdiagnosed as acute pancreatitis,intestinal obstruction,acute hemorrhagic necrotizing enteritis,enterospasm,acute peritonitis,acute appendicitis.Conclusion MVT has no specific symptoms and signs.So it was easy to make incorret diagnosis.To recognize it early is crucial to reduce misdiagnosis and improve curative effect on MVT.