Clinical characteristics of mesenteric venous thrombosis.
- VernacularTitle:肠系膜静脉血栓形成的临床特点分析
- Author:
Yinglin NIU
;
Shutian ZHANG
;
Zhonglin YU
- Publication Type:Journal Article
- Keywords:
Mesenteric veins;
SMVT;
Clinical characteristics;
Thrombolysis
- From:
Chinese Journal of Practical Internal Medicine
2002;0(08):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze and determine the clinical chatacteristics and treatment of suqerior mesenteric venous thrombosis.Methods We reviewed the medical records of all 32 patients who were diagnosed as with SMVT in Peking Friendship Hospital from 1985 to 2005.Results Thirty-two patients were diagnosted as SMVT,11 patients were with chronic superior mesenteric venous thrombosis(median age 46.6 years,ranging 32～78 years),without acut abdomen;22 cases were acute superior mesenteric venous thrombosis(median age 45.9 years,range 19～64 years).The main symptoms at the presentation were abdominal pain(100%),abdominal distension(100%),acute abdomen(100%),vomiting(68.2%,15/22),an fever(36.4%,8/22).Misdiagnosis rate 59.1%(13/22),death rate 31.8%(8/22).Conclusion The presentations of ASMVT have some relatively characteristics.The clinical diagnosis of ASMVT can be confirmed on the basis of abdominal CT and selective superior mesenteric arteriography in early phase.
