Sanabria J R, Hiruki T, Szalay D A, Tandan V, Gallinger S
Department of Surgery, Mount Sinai Hospital, University of Toronto, Ont.
Can J Surg. 1997 Dec;40(6):467-70.
It is now recognized that occlusion of the mesenteric veins not only may complicate a number of disease processes but may occur as a life-threatening complication after abdominal surgery. A 32-year-old woman had mesenteric venous thrombosis after resection of a duodenal inflammatory pseudotumour by pancreatoduodenectomy. She recovered fully after treatment, which consisted of thrombectomy, flushing with urokinase and intravenous administration of heparin. Papaverine infused for 4 days substantially improved bowel viability. Current concepts in mesenteric vein occlusion and the principles of clinical management are reviewed.
现在已经认识到，肠系膜静脉闭塞不仅可能使许多疾病过程复杂化，而且可能作为腹部手术后的一种危及生命的并发症出现。一名32岁女性在通过胰十二指肠切除术切除十二指肠炎性假瘤后发生了肠系膜静脉血栓形成。她在接受包括血栓切除术、用尿激酶冲洗和静脉注射肝素的治疗后完全康复。注入罂粟碱4天显著改善了肠活力。本文综述了肠系膜静脉闭塞的当前概念和临床处理原则。
