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目的探讨急性原发性肠系膜上静脉血栓形成(APSMVT)的诊断与治疗。方法回顾性分析近3年收治的19例APSMVT的临床资料。结果术前诊断疑为APSMVT的仅7例。19例均行手术治疗,其中2次手术3例。治愈17例,死亡2例。17例随访0.5～4年,均健在。结论该病诊断缺乏特异性,Doppler彩超、CT、选择性血管造影有助于早期诊断。手术切除坏死肠管、术后抗凝是防止复发、降低病死率的关键。
Objective To investigate the diagnosis and treatment of acute primary mesenteric vein thrombosis (APSMVT). Methods The clinical data of 19 APSMVT patients admitted in recent 3 years were retrospectively analyzed. Results Preoperative diagnosis of suspected APSMVT in only 7 cases. Nineteen patients underwent surgical treatment, of which 2 were operated in 3 cases. Seventeen cases were cured and two died. 17 cases were followed up 0.5 to 4 years, are alive. Conclusion The diagnosis of the disease lacks specificity. Doppler ultrasound, CT and selective angiography are helpful for early diagnosis. Surgical removal of necrotic bowel, postoperative anticoagulation is to prevent recurrence and reduce the mortality of the key.