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Treatment of portal vein thrombosis

WANG Xiao tian,YU Jun,DENG Fu sheng,HU He jie (Department of General Surgery,Anhui Provincial Hospital,Hefei 230001,China)  
Objective:To explore the diagnosis and management of portal vein thrombosis in different stages.Methods:Sixteen cases of portal vein thrombosis were analysed restrospectively.Four cases received thrombolytic therapy with urokinase after intubation to superior mesenteric artery using seldinger technology was performed;9 cases were treated by thrombolytic therapy with urokinase via peripheral vein;2 cases underwent superior mesenteric vein caval shunt;1 case was treated with gastroesophageal varicose.Results:The symptoms were alleviated apparently in 14 cases; no improvement was noted in 1 case;and resection of part of the small intestine was performed in 1 case due to enteric necrosis.No death occurred during the treatment.Conclusions:The prognosis of portal vein thrombosis depends on early diagnosis and prompt treatment.The intervention thrombolytic therapy is advocated to patients with portal vein thrombosis of early stage.
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