医
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腹部压痛、腹部不适、肠鸣、腹泻、小肠扩张充气、衣玉品、静脉血栓、腹肌紧张、腹痛、便秘
Superior mesenteric vein thrombosis is thrombosis of SMV (hypercoagulable state, portal hypertension, inflammation), causing abdominal pain and possible bowel ischemia/infarction. Treatment: anticoagulation (LMWH/warfarin/DOAC); NPO; IV fluids; broad-spectrum antibiotics; surgical exploration/resection if bowel necrosis; treat underlying hypercoagulability (thrombophilia/cirrhosis); thrombolysis in selected; monitor for recurrence/bleeding; follow-up imaging.
Abdominal pain; by hypercoagulability/cirrhosis/inflammation; risk of bowel infarction
Hypercoagulability causes SMV thrombosis and venous congestion/ischemia.
Anticoagulation; supportive care; surgery if necrotic; treat hypercoagulability
Treat thrombophilia; anticoagulate high-risk.
It is recommended to visit the Gastroenterology/Hematology/Gastrointestinal-surgery department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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