中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
16期
28-29
,共2页
急性肠系膜静脉血栓%症状%诊断
急性腸繫膜靜脈血栓%癥狀%診斷
급성장계막정맥혈전%증상%진단
Acute mesenteric venous thrombosis%Symptoms%Diagnosis
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。
目的：提高急診醫生對腸繫膜靜脈血栓形成(AMVT)的認識，減少漏誤診。方法：迴顧性分析9例急性腸繫膜靜脈血栓形成患者的資料。結果：持續性腹痛、腹脹、進行性加重9例，伴有噁心、嘔吐癥狀5例，腹瀉2例，血樣便2例，髮熱2例，厭食2例，腹部B超檢齣1例，腹部CT(CTA)檢查9例，手術證實9例。結論：AMVT癥狀無特異性，易造成漏誤診，實驗室檢查對AMVT診斷幫助不大，CT/CTA和綵色多普勒超聲檢查有助早期髮現。
목적：제고급진의생대장계막정맥혈전형성(AMVT)적인식，감소루오진。방법：회고성분석9례급성장계막정맥혈전형성환자적자료。결과：지속성복통、복창、진행성가중9례，반유악심、구토증상5례，복사2례，혈양편2례，발열2례，염식2례，복부B초검출1례，복부CT(CTA)검사9례，수술증실9례。결론：AMVT증상무특이성，역조성루오진，실험실검사대AMVT진단방조불대，CT/CTA화채색다보륵초성검사유조조기발현。
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.
