Study of surgical style of treating acute mesenteric venous thrombosis / 中国实用外科杂志
Chinese Journal of Practical Surgery
; (12): 154-155, 2001.
Article
in Zh
| WPRIM
| ID: wpr-410995
Responsible library:
WPRO
ABSTRACT
Objective To explore the best therapeutic methods for acute mesenteric venous thromboses(AMVT)with different degrees of intestinal ischemic lesions. Methods 6 cases of acute abdomen were preoperatively diagnosed as AMVT with imaging. After laparotomy, patients were classified as congestive lesion(n=3)and necrotic lesion(n=3)according to the degree of intestinal sichemia and were treated with mesenteric thrombectomy and bowel resection, respeetively. All cases received heparin and urokinase perioperatively. Results Of the 3 patients receiving mesenteric thrombectomy, 2 were cured and the other one with ischemic ascending colon was cured after right hemicolectomy due to the complication of colic dynamic ileus and perforation 10 days after thrombectomy. The other 3 patients recovered after bowel resection. Follow-up from 8 months to 6 years showed no recurrence. Conclusion Combined with anti-coagulation therapy, thrombectomy and bowel resection are rational and effective protocol for congestive lesion and necrotic lesion, respectively in AMVT patients.
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Index:
WPRIM
Type of study:
Guideline
Language:
Zh
Journal:
Chinese Journal of Practical Surgery
Year:
2001
Type:
Article