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[肠系膜静脉血栓形成作为罗梅罗 - 托雷斯技术治疗门静脉高压手术的并发症。附病例报告]

[Mesenteric venous thrombosis as a complication of surgery for portal hypertension by the Romero-Torres technic. Apropos a case].

作者信息

Cobos Mateos J M, Aguinaga Manzanos M V, Casas Pinillos M S, González Conde R, González Sánchez J A, De Miguel Velasco J E, Soleto Sáez E, Suárez Mier M P

机构信息

Servicio de Cirurgía General y de Urgencia, Hospital General La Paz, Madrid.

出版信息

Rev Esp Enferm Dig. 1991 Apr;79(4):285-7.

PMID:2054217
Abstract

A case is presented of mesenteric venous thrombosis which affects about 30 cm of small intestine in a patient operated one month before for portal hypertension and bleeding from esophagogastric varices, in which an interruption of the portal-azygous venous circulation was made with splenectomy, using the Romero-Torres procedure. We consider that postsplenectomy thrombocytosis has been the first pathogenic factor in the mesenteric venous thrombosis.

摘要

本文报告一例肠系膜静脉血栓形成病例,该患者一个月前因门静脉高压和食管胃静脉曲张出血接受手术,采用罗梅罗 - 托雷斯手术行脾切除术,造成门静脉 - 奇静脉循环中断,肠系膜静脉血栓形成累及约30cm的小肠。我们认为脾切除术后血小板增多症是肠系膜静脉血栓形成的首要致病因素。

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