Thrombolysis via an Operatively Placed Mesenteric Catheter for Portal and Superior Mesenteric Vein Thrombosis: Report of a Case
Thrombolysis via an Operatively Placed Mesenteric Catheter for Portal and Superior Mesenteric Vein Thrombosis: Report of a Case
复制标题
通过手术放置肠系膜导管溶栓治疗门脉和肠系膜上静脉血栓：一例报告
DOI：
10.1007/s00595-006-3243-4
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发表时间：
2006
期刊：
影响因子：
2.5
通讯作者：
Raci Aydın
中科院分区：
文献类型：
--
作者：
M. Ozdogan;A. Gurer;A. K. Gokakin;H. Kulaçoğlu;Raci Aydın
肠系膜静脉血栓形成（MVT）是肠系膜血管闭塞的一种灾难性形式。在没有腹膜体征的情况下，应立即开始抗凝治疗。对于选定的患者，通过上级肠系膜动脉（SMA）、颈静脉或门静脉经鞘途径溶栓可能会成功;但是，当出现腹膜体征时，必须进行剖腹探查术。我们报告一例急性MVT与蛋白C和S缺乏症，成功地治疗有限的肠切除术，同时溶栓输液，通过手术放置肠系膜静脉导管。
Mesenteric venous thrombosis (MVT) is a catastrophic form of mesenteric vascular occlusion. In the absence of peritoneal signs, anticoagulation therapy should be started immediately. For selected patients, thrombolysis through the superior mesenteric artery (SMA), jugular vein, or portal vein via a transhepatic route might be successful; however, exploratory laparotomy is mandatory when peritoneal signs develop. We report a case of acute MVT associated with protein C and S deficiency, treated successfully by limited bowel resection and simultaneous thrombolytic infusion, given via an operatively placed mesenteric vein catheter.