Non-cirrhotic patients with acute mesenteric vein thrombosis treatment.doc

 PAGE \* MERGEFORMAT 10 Non-cirrhotic patients with acute mesenteric vein thrombosis treatment [Keywords:] non-cirrhosis of the liver with acute mesenteric vein thrombosis Mesenteric vein thrombosis (mesenteric venous thrombosis, MVT) is a rare clinical acute abdomen, because of its lack of specificity of clinical manifestations, diagnosis and treatment is often delayed and thus a higher mortality rate. This study focused on analysis of its causes, diagnosis, treatment and prognosis of such lesions in order to enhance the understanding and diagnosis and treatment. Are reported below. 1 Data and methods 1.1 General information select from April 2004 to April 2008 Sir Run Run Shaw Hospital and the Second Affiliated Hospital of Wenzhou Medical College admitted by imaging or surgical exploration confirmed seven cases of patients with MVT. 5 cases were male and 2 female, aged 28 to 67 years, with an average (45.60 ± 5.72) years of age. All patients are in pain, abdominal distension was admitted to hospital accompanied by nausea, vomiting and other symptoms, accompanied by leukocytosis (13.4 * 109 / L ~ 21.0 * 109 / L), 3 patients merger fever, 2 cases with blood in the stool. All patients have extensive medical examination of abdominal tenderness, 3 cases with significant abdominal rebound tenderness. Enhance or abdominal CT angiography of superior mesenteric artery prompted purely MVT 3 cases, the remaining 4 patients with portal vein thrombosis. 1.2 treatment of surgical treatment in 3 cases, 1 case of peritonitis in a conservative course of symptoms increased with emergent surgery. After Cesarean section under the color of the intestinal wall, bowel movements and mesenteric warm salt water wet packing methods to determine the activity of intestine, resection of necrotic bowel after a small mesenteric vein stump of the Fogarty embolectomy catheter insertion openings as far as possible to remove the trunk vein thrombosis , re-intestinal anastomosis, and the s