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转移性卵巢癌背景下急性肠系膜上静脉血栓形成的复杂管理

Complex management of acute superior mesenteric venous thrombosis in the setting of metastatic ovarian cancer.

作者信息

Sheikh-Ali Ruba, Moore January, Almerey Tariq, Toskich Beau, Robertson Matthew W, Dinh Tri A, Farres Houssam

机构信息

Department of Suergery, Division of Vascular Surgery, Mayo Clinic, Florida, USA.

Department of Radiology, Mayo Clinic, Florida, USA.

出版信息

Gynecol Oncol Rep. 2019 Jul 26;29:85-88. doi: 10.1016/j.gore.2019.07.008. eCollection 2019 Aug.

DOI:10.1016/j.gore.2019.07.008
PMID:31440575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6698922/
Abstract

•Superior mesenteric vein thrombosis (SMVT) is rare but seen in patients with hypercoagulable states.•Prevention of mortality in patients with SMVT requires immediate diagnosis and complex management.•A hierarchical approach to treatment progresses to more aggressive treatment as needed.•Supportive care, medication, and endovascular and/or surgical interventions are available management options.•In patients with underlying conditions, long-term treatment such as anticoagulation must also be initiated.

摘要

• 肠系膜上静脉血栓形成(SMVT)较为罕见,但在高凝状态患者中可见。

• 预防SMVT患者的死亡需要立即诊断和复杂的管理。

• 治疗采用分级方法,根据需要进展至更积极的治疗。

• 支持性护理、药物治疗以及血管内和/或手术干预都是可行的管理选择。

• 对于有基础疾病的患者,还必须启动长期治疗,如抗凝治疗。

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本文引用的文献

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Treatment algorithm in cancer-associated thrombosis: Canadian expert consensus.癌症相关血栓形成的治疗算法:加拿大专家共识
Curr Oncol. 2018 Oct;25(5):329-337. doi: 10.3747/co.25.4266. Epub 2018 Oct 31.
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Treatment outcomes and risk factors for bowel infarction in patients with acute superior mesenteric venous thrombosis.急性肠系膜上静脉血栓形成患者的肠梗死治疗结果和相关风险因素。
J Vasc Surg Venous Lymphat Disord. 2017 Sep;5(5):638-646. doi: 10.1016/j.jvsv.2017.04.011. Epub 2017 Jun 26.
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Incidence of Venous Thromboembolism by Type of Gynecologic Malignancy and Surgical Modality in the National Surgical Quality Improvement Program.
在国家外科质量改进计划中,按妇科恶性肿瘤类型和手术方式划分的静脉血栓栓塞发生率
Int J Gynecol Cancer. 2017 Mar;27(3):581-587. doi: 10.1097/IGC.0000000000000912.
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Mesenteric venous thrombosis.肠系膜静脉血栓形成。
Mayo Clin Proc. 2013 Mar;88(3):285-94. doi: 10.1016/j.mayocp.2013.01.012. Epub 2013 Feb 27.
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Acute superior mesenteric venous thrombosis with advanced gastric cancer: a case report.急性肠系膜上静脉血栓形成合并晚期胃癌:一例报告
Cases J. 2010 Mar 9;3:76. doi: 10.1186/1757-1626-3-76.
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Endovascular Thrombolysis in Acute Mesenteric Vein Thrombosis: a 3-year follow-up with the rate of short and long-term sequaelae in 32 patients.急性肠系膜静脉血栓形成的血管内溶栓治疗:32例患者的3年随访及短期和长期后遗症发生率
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Transjugular intrahepatic portosystemic shunt, mechanical aspiration thrombectomy, and direct thrombolysis in the treatment of acute portal and superior mesenteric vein thrombosis.经颈静脉肝内门体分流术、机械性血栓抽吸术及直接溶栓术治疗急性门静脉和肠系膜上静脉血栓形成
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Percutaneous transhepatic mechanical thrombectomy for acute mesenteric venous thrombosis.经皮经肝机械性血栓切除术治疗急性肠系膜静脉血栓形成
J Endovasc Ther. 2005 Aug;12(4):508-11. doi: 10.1583/04-1335MR.1.
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Mesenteric venous thrombosis.肠系膜静脉血栓形成
N Engl J Med. 2001 Dec 6;345(23):1683-8. doi: 10.1056/NEJMra010076.
10
Mesenteric venous thrombosis: a changing clinical entity.肠系膜静脉血栓形成:一种不断变化的临床病症。
J Vasc Surg. 2001 Oct;34(4):680-4. doi: 10.1067/mva.2001.116965.