Rijs J, Depreitere B, Beckers A, Van Lerberghe E, Vollon H, Swinnen F
Departement of Surgery, St. Augustinuskliniek, Veurne, Belgium.
Acta Chir Belg. 1997 Oct;97(5):247-9.
Mesenteric venous thrombosis is an infrequent but distinct form of intestinal ischaemia. We report a case of acute mesenteric venous thrombosis diagnosed by computed tomography. Laparoscopy permitted to establish the extent of the ischaemia. Initially, high doses streptokinase were administered for 6 hours, followed by heparinotherapy for 10 hours, with the aim to reduce the length of bowel to be resected. One day later, intestinal resection was carried out, followed by postoperative anticoagulation.
肠系膜静脉血栓形成是一种罕见但独特的肠缺血形式。我们报告一例通过计算机断层扫描诊断出的急性肠系膜静脉血栓形成病例。腹腔镜检查有助于确定缺血范围。最初，给予大剂量链激酶治疗6小时，随后进行肝素治疗10小时，目的是减少需要切除的肠段长度。一天后，进行了肠切除术，术后进行抗凝治疗。
