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目的分析急性肠系膜静脉血栓形成的(AMVT)诊断与治疗方法,以提高该病的治愈率。方法通过对既往手术、非手术治疗的21例急性肠系膜静脉血栓形成患者的临床表现及治疗方法的回顾性总结。结果3例早期急性肠系膜静脉血栓形成经溶栓、抗凝治疗,预后良好。18例行手术治疗,12例痊愈,6例死亡,死亡原因为中毒性休克和多器官衰竭。结论加深对急性肠系膜静脉血栓形成的认识,由于MVT的临床表现有一定特征,通过早期影像学检查可对AMVT做出正确的诊断,并通过早期手术可以降低MVT患者的死亡率。
Objective To analyze the diagnosis and treatment of acute mesenteric venous thrombosis (AMVT) in order to improve the cure rate of this disease. Methods The clinical manifestations and treatment of 21 patients with acute mesenteric venous thrombosis undergoing previous surgery and non-surgical treatment were reviewed retrospectively. Results 3 cases of early acute mesenteric venous thrombosis by thrombolysis, anticoagulant therapy, the prognosis is good. Eighteen patients underwent surgery, 12 recovered, and 6 died. The causes of death were toxic shock and multiple organ failure. CONCLUSIONS: Awareness of acute mesenteric venous thrombosis is deepened. Because of the clinical features of MVT, AMVT can be correctly diagnosed by early radiological examination and mortality of MVT patients can be reduced by early surgery.