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学科主题: 血管外科学
题名:
急性肠系膜血管闭塞的诊治经验(附16例报告)
其他题名: Diagnosis and Treatment of Acute Mesenteric Vessel Occlusion-A Report of 16 Cases
作者: 栾景源; 董国祥
关键词: 肠系膜血管闭塞 ; 栓塞和血栓形成 ; 血管外科手术
刊名: 腹部外科
发表日期: 2001
DOI: 10.3969/j.issn.1003-5591.2001.02.004
卷: 14, 期:2, 页:77-79
收录类别: 中国科技核心期刊
文章类型: Journal Article
摘要: 目的 探讨急性肠系膜血管闭塞(AMVO)的早期诊断和治疗。方法 8例急性肠系膜动脉栓塞(MAE)确诊5例,误诊3例。保守治疗1例,介入溶栓1例,肠切除4例,取栓后肠切除1例;另1例大部小肠严重缺血,经二次手术探查,避免了肠切除和短肠综合征。8例急性肠系膜静脉血栓形成(MVT)确诊4例,疑诊4例;保守治疗2例,肠切除2例,取栓后肠切除4例。结果 8例MAE治愈5例,死亡3例; 8例MVT全部治愈。结论 对AMVO保持警惕,早期确诊是提高疗效的关键。 Objective To investigate the early diagnosis and treatment of the acute mesenteric vessel occlusion(AMVO).Methods In 8 cases of acute mesenteric arterial embolism(MAE), 5 cases were definitely diagnosed, 3 cases were made error diagnosis. One case was treated non-operatively, 1 case was treated by interventional thrombolysis, 4 cases received bowel resection, 1 case received bowel resection after removal of the embolus, the last one avoid bowel resection and short bowel syndrome by the second-look operation. In the 8 cases of acute mesenteric venous thrombosis (MVT), 4 cases were definitely diagnosed, 4 cases were suspected. Two cases were treated non-operatively, 2 cases received bowel resection, the remaining 4 cases received bowel resection after removal of the thrombus.Results In the 8 cases of MAE, 5 were cured and 3 died. All the 8 cases of MVT recovered. Conclusion Early diagnosis was the key to improve the therapeutic effects of AMVO.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71776
Appears in Collections:北京大学第三临床医学院_介入血管外科_期刊论文

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作者单位: 北京大学第三医院血管外科

Recommended Citation:
栾景源,董国祥. 急性肠系膜血管闭塞的诊治经验(附16例报告)[J]. 腹部外科,2001,14(2):77-79.
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