摘要
目的 :探讨门静脉血栓的诊断及对不同时期门静脉血栓的治疗。方法 :回顾 16例门静脉血栓的不同治疗方法 ,4例行经皮经股动脉插管至肠系膜上动脉后 ,用尿激酶溶栓治疗 ;9例经外周静脉使用尿激酶溶栓治疗 ;2例行肠 -腔分流术 ;1例行食管胃底曲张静脉硬化剂治疗。结果 :14例症状明显缓解 ,1例症状无明显改善 ,1例出现肠坏死行坏死小肠切除。治疗过程中无死亡。结论 :该病的预后取决于早期诊断 ,及时治疗 ;对早期患者提倡介入溶栓治疗。
Objective:To explore the diagnosis and management of portal vein thrombosis in different stages.Methods:Sixteen cases of portal vein thrombosis were analysed restrospectively.Four cases received thrombolytic therapy with urokinase after intubation to superior mesenteric artery using seldinger technology was performed;9 cases were treated by thrombolytic therapy with urokinase via peripheral vein;2 cases underwent superior mesenteric vein caval shunt;1 case was treated with gastroesophageal varicose.Results:The symptoms were alleviated apparently in 14 cases; no improvement was noted in 1 case;and resection of part of the small intestine was performed in 1 case due to enteric necrosis.No death occurred during the treatment.Conclusions:The prognosis of portal vein thrombosis depends on early diagnosis and prompt treatment.The intervention thrombolytic therapy is advocated to patients with portal vein thrombosis of early stage.
出处
《蚌埠医学院学报》
CAS
2003年第5期418-419,共2页
Journal of Bengbu Medical College
