Clinical Retrospective Analysis Of Mesenteric Venous Thrombosis (A Report Of 36 Cases)

OBJECTIVE Retrospective analysis of 36 cases of mesenteric venous thrombosis (MVT) clinical data, summarize the clinical experience of diagnosis and treatment of MVT, and improve the clinician awareness of MVT.METHODS Collect first affiliated hospital of chongqing medical university vascular surgery in Jan 2006-Dec 2014 clinical data of 36 patients with MVT, using the percentage analysis and frequency distribution, analysis of the general data, inducing factors, clinical features, laboratory examination and imaging findings and treatment and outcome.RESULTS This group of data MVT total 5 cases died, mortality was 13.9%, Among them 1 case of conservative treatment in the process of complicated with pulmonary embolism and pulmonary infection, died of ARDS; 3 cases died after operation,2 cases of reoperation after treatment dead body and serious infection complicating acute renal failure,1 case was admitted to hospital within 48 h emergency surgery died of MODS; 1 case died of severe intracranial hemorrhage after interventional thrombolysis treatment.15 cases of surgical treatment (abdominal examination on admission diffuse inflammation; repeated and deterioration of complications after conservative treatment),12 cases were treatment improved,5 cases of reoperation. Interventional treatment of 6 cases,5 cases were treatment improved,2 cases of reoperation.CONCLUSION 1. MVT mortality in clinic is still to a certain extent, the mechanism and clinical after still needs further research.2. The anticoagulant therapy is still the important treatment of MVT, inhibition of gastric intestinal juice foundation and parenteral nutrition support treatment is MVT (especially the long length of hospital stay, the intestinal function recovery slow) in patients with necessary means.3. Surgical treatment is only for MVT caused serious complications such as intestinal necrosis, intestinal perforation and intestinal obstruction.4. The therapeutic effect of thrombolysis and thrombus removal needs further observation.