高氨血症并发肠系膜静脉血栓形成。
Hyperammonemia complicating mesenteric vein thrombosis.
作者信息
Blei A, Dux S, Grosskopf I, Garty M, Rosenfeld J B
出版信息
Am J Med. 1986 Feb;80(2):299-300. doi: 10.1016/0002-9343(86)90027-6.
Hyperammonemic coma developed in a 69-year-old woman with prolonged symptoms of abdominal pain, dysphagia, and fever. At laparotomy for an acute condition within the abdomen, mesenteric vein thrombosis was found and partial intestinal resection was performed. Following surgery, the patient regained consciousness and blood ammonia levels became normal. Hyperammonemia and coma complicating mesenteric vein thrombosis have not yet been described. Venous shunts are suggested as being responsible for this rare complication.
一名69岁女性出现了高氨血症性昏迷，伴有长期的腹痛、吞咽困难和发热症状。在因腹部急症进行剖腹手术时，发现了肠系膜静脉血栓形成，并进行了部分肠切除术。术后，患者恢复意识，血氨水平恢复正常。肠系膜静脉血栓形成并发高氨血症和昏迷的情况此前尚未见报道。有观点认为静脉分流是导致这种罕见并发症的原因。
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