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目的:探讨高原红细胞增多症合并血栓性肠坏死患者的特点、诊断及治疗。方法:对我院胃肠外科自2010年1月—2012年6月收治的10例高原红细胞增多症合并血栓性肠坏死病例的临床特点、诊断及治疗方法进行分析。结果:10例患者均行剖腹探查术、坏死肠段肠切除、肠吻合术,治愈8例,死亡2例,全部病例术后均给予抗凝、抑制血小板聚集治疗。结论:高原红细胞增多症合并血栓性肠坏死多急性发病,病情凶险,死亡率高,术前早期诊断和手术治疗是降低死亡率的关键。
Objective: To investigate the characteristics, diagnosis and treatment of patients with high altitude polycythemia complicated with thrombotic intestinal necrosis. Methods: The clinical features, diagnosis and treatment of 10 cases of platelet polycythemia complicated with thrombotic intestinal necrosis admitted to our hospital from January 2010 to June 2012 were analyzed. Results: All 10 patients underwent laparotomy, necrotic bowel resection and intestinal anastomosis. Eight patients were cured and two died. All patients were given anticoagulation and platelet aggregation after operation. Conclusions: Polycythemia complicated with acute hemorrhagic thrombotic intestinal necrosis, dangerous condition, high mortality, early diagnosis and surgical treatment before surgery is the key to reduce mortality.