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題名 | Acute Ischemic Bowel Disease due to Portomesenteric Venous Thrombosis: One Case Report=廣泛性肝門腸繫膜靜脈栓塞導致腸梗塞性壞死之病例報告 |
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作 者 | 章志榮; 謝宗宏; 林茂森; | 書刊名 | 中華民國急救加護醫學會雜誌 |
卷期 | 22:3 2011.09[民100.09] |
頁次 | 頁124-128 |
分類號 | 416.24 |
關鍵詞 | 缺血性腸梗塞; 肝門靜脈栓塞; Ischemic bowel disease; Venons thrombosis; |
語文 | 英文(English) |
中文摘要 | 廣泛性的肝門靜脈與腸繫膜靜脈栓塞是一種罕見的深部靜脈栓塞疾病。而由此病因所導致的腸梗塞性壞死更是罕見。本文報告一位 56歲台灣男性,無特殊過去病史與已知的危險因子,遭遇廣泛性的右肝靜脈、肝門靜脈,與上腸繫膜靜脈之栓塞而導致之缺血性腸梗塞壞死。病患初期身體理學檢查與生化檢查並無特殊異常。最後經由電腦確認此診斷,並以手術切除壞死之腸子以及術後的抗凝藥物成功治療。此類靜脈栓塞導致之腸梗塞壞死症狀常不典型且不易診斷,臨床醫師必須有高度的警覺心。 |
英文摘要 | Diffuse portomesenteric venous thrombosis (PMVT) is an unusual form of deep vein thrombosis.Intestinal gangrenous change induced by PMVT is an extremely rare entity but potentially lethal condition. We reported a 56-year-old male without known risk factors who had diffuse intestinalischemia secondary to right hepatic vein thrombosis (RHVT), portal vein thrombosis (PVT), and superior mesenteric vein thrombosis (SMVT). The initial biochemistry studies were within normal limits. Contrastenhanced computed tomography confirmed the impression. The patient was successful treated by surgical intervention and postoperative anticoagulation therapy. Diagnosis for PMVT is often delayed and notmade until diffuse peritonitis present. Emergent physician should keep alertness in daily working. |
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