急性肠系膜静脉血栓形成9例回顾性分析

摘要

Objective:To improve the emergency physicians understanding of mesenteric venous thrombosis(AMVT) and reduce misdiagnosis.Method:A retrospective analysis of 9 cases with acute mesenteric venous thrombosis.Result:Persistent abdominal pain,abdominal distension,progression 9 cases,5 cases were accompanied by nausea,vomiting,diarrhea in 2 cases,blood samples in 2 cases,2 cases were fever,anorexia in 2 cases,abdominal ultrasound detection in 1 case,abdominal CT(CTA) in 9 cases,9 cases of surgery confirmed.Conclusion:AMVT symptoms without specificity,easy leakage caused by misdiagnosis, laboratory tests to diagnose AMVT limited help,CT/CTA and color doppler ultrasound examination can help early detection.%目的：提高急诊医生对肠系膜静脉血栓形成(AMVT)的认识，减少漏误诊。方法：回顾性分析9例急性肠系膜静脉血栓形成患者的资料。结果：持续性腹痛、腹胀、进行性加重9例，伴有恶心、呕吐症状5例，腹泻2例，血样便2例，发热2例，厌食2例，腹部B超检出1例，腹部CT(CTA)检查9例，手术证实9例。结论：AMVT症状无特异性，易造成漏误诊，实验室检查对AMVT诊断帮助不大，CT/CTA和彩色多普勒超声检查有助早期发现。