[摘要]目的 探讨肠系膜静脉血栓形成的病因、临床表现及诊断、治疗。方法 回顾性分析我院1993～2002年收治的16例肠系膜静脉血栓形成病人的临床资料，重点分析病因、临床表现及诊疗方法。结果 16例病人中，5例为腹部手术后发生肠系膜静脉血栓，其中肝硬化脾切除术后发生者4例。16例病人均有不同程度的腹痛。14例病人行手术治疗，其中12例病人行小肠部分切除术;2例病人经CT证实为慢性肠系膜静脉血栓形成，给予抗凝溶栓治疗。4例病人死于肠坏死、中毒性休克，12例病人术后恢复良好。结论 肠系膜静脉血栓形成与腹部手术、高血凝状态、高血压及门脉高压症有关。早期治疗可取得较好的疗效。

     [关键词] 肠系膜静脉;血栓形成;诊断;治疗

    MESENTERIC VENOUS THROMBOSIS: A CLINICAL ANALYSIS OF 16 PATIENTS

    NIU ZHAO-JIAN， SUN ZHEN-QING， ZHOU YAN-BING

    (Department of General Surgery， The Affiliated Hospital of Qingdao University Medical College， Qingdao 266003， China)

    [ABSTRACT]ObjectiveTo discuss the etiology， manifestations， diagnosis and therapy of mesenteric venous thrombosis(MVT). MethodsThe etiology， manifestations， diagnosis and therapy of 16 patients with mesenteric venous thrombosis hospi-talized from 1993 to 2002 in our hospital were analyzed retrospectively. ResultsOf this 16 patients， five got MVT after abdomi-nal operation， in which， four after splenectomy due to cirrhosis of liver. Fourteen of them received partial resection of the small in-testine Two were confirmed as having chronic MVT by CT ......