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目的探讨急性肠系膜静脉血栓形成(AMVT)的诊治要点。方法回顾性分析我院1995年7月至2003年6月经手术确诊的8例AMVT的临床特点及诊治情况。结果8例术前均以急腹症就诊,疑诊AMVT2例,8例均手术后确诊。1例为肠系膜上静脉主干血栓形成,全小肠坏死,术后2d死亡。余7例部分肠系膜静脉栓塞及肠坏死,6例治愈,1例并发双下肢深静脉血栓形成。5例明确病因。结论AMVT大多数以急腹症就诊,早期腹痛明显而体征轻微是其临床特点,临床诊断较困难。对有急性弥漫性腹膜炎、可疑肠坏死和血流动力学不稳的患者应立即手术治疗。
Objective To investigate the diagnosis and treatment of acute mesenteric venous thrombosis (AMVT). Methods A retrospective analysis of our hospital from July 1995 to June 2003 confirmed by surgery 8 cases of AMVT clinical features and diagnosis and treatment. Results 8 cases were treated with acute abdomen, 8 cases were suspected of AMVT and 8 cases were diagnosed after operation. One case was the superior mesenteric vein thrombosis, total small intestine necrosis and died after 2 days. More than 7 cases of mesenteric vein thrombosis and intestinal necrosis, 6 cases were cured, 1 case complicated by double lower extremity deep vein thrombosis. 5 cases of a clear cause. Conclusion Most patients with acute abdomen AMVT treatment, early abdominal pain obvious signs of minor clinical features, clinical diagnosis is more difficult. Patients with acute diffuse peritonitis, suspicious intestinal necrosis and haemodynamic instability should be treated immediately.