BACKGROUND Among the various types and causes of mesenteric ischemia,superior mesenteric vein(SMV)thrombosis is a rare and ambiguous disease.If a patient presents with SMV thrombosis,past medical history should be rev...BACKGROUND Among the various types and causes of mesenteric ischemia,superior mesenteric vein(SMV)thrombosis is a rare and ambiguous disease.If a patient presents with SMV thrombosis,past medical history should be reviewed,and the patient should be screened for underlying disease.SMV thrombosis may also occur due to systemic infection.In this report,we describe a case of SMV thrombosis complicated by influenza B infection.CASE SUMMARY A 64-year-old male visited the hospital with general weakness,muscle aches,fever,and abdominal pain.The patient underwent computed tomography(CT)and was diagnosed with SMV thrombosis.Since the patient’s muscle pain and fever could not be explained by the SMV thrombosis,the clinician performed a test for influenza,which produced a positive result for influenza B.The patient had a thrombus in the SMV only,with no invasion of the portal or splenic veins,and was clinically stable.Anticoagulation treatment was prescribed without surgery or other procedures.The follow-up CT scan showed improvement,and the patient was subsequently discharged with continued oral anticoagulant treatment.CONCLUSION This case provides evidence that influenza may be a possible risk factor for SMV thrombosis.If unexplained abdominal pain is accompanied by an influenza infection,examination of an abdominal CT scan may be necessary to screen for possible SMV thrombosis.展开更多
Superselective intra-arterial thrombolytic therapy with urokinase infusion was effective in 10 patients with acute cerebral vascular occlusion. PATIENTS AND METHODS In the 10 patients, 8 were men and 2 women. Their ...Superselective intra-arterial thrombolytic therapy with urokinase infusion was effective in 10 patients with acute cerebral vascular occlusion. PATIENTS AND METHODS In the 10 patients, 8 were men and 2 women. Their age ranged from 34 to 70 years.展开更多
目的研究动脉溶栓联合机械辅助治疗前后循环大动脉急性闭塞性脑梗死患者的有效性和安全性。方法 42例大动脉闭塞性脑梗死患者行动脉溶栓联合机械辅助治疗,分为前循环组(24例)、后循环组(18例),评估不同组别治疗前后的NIHSS评分(National...目的研究动脉溶栓联合机械辅助治疗前后循环大动脉急性闭塞性脑梗死患者的有效性和安全性。方法 42例大动脉闭塞性脑梗死患者行动脉溶栓联合机械辅助治疗,分为前循环组(24例)、后循环组(18例),评估不同组别治疗前后的NIHSS评分(National Institute of Health stroke scale)、GCS评分(Glasgow comascore,GCS)及治疗后血管再通率、BI(Barthel Index)优率、症状性颅内出血率、死亡率。结果前循环组卒中病因分型以心源性栓塞为主(15/24,62.5%),后循环组以动脉粥样硬化性血栓形成为主(5/18,72.2%),两组间比较,差异有统计学差异(P=0.026);前、后循环组患者,治疗后的NIHSS评分(8.3±4.9 vs.8.1±5.7)较治疗前(15.1±5.3vs.16.8±7.8)明显降低(P=0.001 vs.P=0.001)、GCS评分(13.9±4.4 vs.12.8±4.2)较治疗前(9.5±3.8 vs.9.6±3.7)明显提高(P=0.001 vs.P=0.021),后循环血管再通率(15/18,83.3%)有高于前循环(14/24,58.3%)趋势(P=0.830),前循环组患者颅内出血发生率(5/24,20.8%)明显高于后循环组(0,0%)(P=0.039),两组患者死亡率相似。结论动脉溶栓联合机械辅助治疗脑梗死能改善神经功能缺损,血管再通率高,更适用于后循环脑梗死的治疗。展开更多
文摘BACKGROUND Among the various types and causes of mesenteric ischemia,superior mesenteric vein(SMV)thrombosis is a rare and ambiguous disease.If a patient presents with SMV thrombosis,past medical history should be reviewed,and the patient should be screened for underlying disease.SMV thrombosis may also occur due to systemic infection.In this report,we describe a case of SMV thrombosis complicated by influenza B infection.CASE SUMMARY A 64-year-old male visited the hospital with general weakness,muscle aches,fever,and abdominal pain.The patient underwent computed tomography(CT)and was diagnosed with SMV thrombosis.Since the patient’s muscle pain and fever could not be explained by the SMV thrombosis,the clinician performed a test for influenza,which produced a positive result for influenza B.The patient had a thrombus in the SMV only,with no invasion of the portal or splenic veins,and was clinically stable.Anticoagulation treatment was prescribed without surgery or other procedures.The follow-up CT scan showed improvement,and the patient was subsequently discharged with continued oral anticoagulant treatment.CONCLUSION This case provides evidence that influenza may be a possible risk factor for SMV thrombosis.If unexplained abdominal pain is accompanied by an influenza infection,examination of an abdominal CT scan may be necessary to screen for possible SMV thrombosis.
文摘Superselective intra-arterial thrombolytic therapy with urokinase infusion was effective in 10 patients with acute cerebral vascular occlusion. PATIENTS AND METHODS In the 10 patients, 8 were men and 2 women. Their age ranged from 34 to 70 years.
文摘目的研究动脉溶栓联合机械辅助治疗前后循环大动脉急性闭塞性脑梗死患者的有效性和安全性。方法 42例大动脉闭塞性脑梗死患者行动脉溶栓联合机械辅助治疗,分为前循环组(24例)、后循环组(18例),评估不同组别治疗前后的NIHSS评分(National Institute of Health stroke scale)、GCS评分(Glasgow comascore,GCS)及治疗后血管再通率、BI(Barthel Index)优率、症状性颅内出血率、死亡率。结果前循环组卒中病因分型以心源性栓塞为主(15/24,62.5%),后循环组以动脉粥样硬化性血栓形成为主(5/18,72.2%),两组间比较,差异有统计学差异(P=0.026);前、后循环组患者,治疗后的NIHSS评分(8.3±4.9 vs.8.1±5.7)较治疗前(15.1±5.3vs.16.8±7.8)明显降低(P=0.001 vs.P=0.001)、GCS评分(13.9±4.4 vs.12.8±4.2)较治疗前(9.5±3.8 vs.9.6±3.7)明显提高(P=0.001 vs.P=0.021),后循环血管再通率(15/18,83.3%)有高于前循环(14/24,58.3%)趋势(P=0.830),前循环组患者颅内出血发生率(5/24,20.8%)明显高于后循环组(0,0%)(P=0.039),两组患者死亡率相似。结论动脉溶栓联合机械辅助治疗脑梗死能改善神经功能缺损,血管再通率高,更适用于后循环脑梗死的治疗。
