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自1970～1980年,作者所在的Henri-Mondor医院共诊断56例肠系膜血管梗塞,其中静脉梗塞仅7例,占12％。根据这些病例的资料,作者等对早期诊断的价值和方法进行了探讨。患者中2例有真性红细胞增多症,1例有服避孕药史,余无明显病因可找。起病时患者先有腹痛8天至6个月,继之出现发热、腹胀、肌卫等,但均不具有特异性,因而均被误诊为急性胰腺炎、急性兰尾炎、卵巢囊肿扭转等。4例在以后肛检时发现有少量便血,4例腹部后能扪及条状肿块。腹部X线摄片未能明确诊断。1例曾
From 1970 to 1980, 56 Henri-Mondor hospitals were diagnosed with mesenteric vascular infarction, of which only 7 cases were venous infarction, accounting for 12%. According to the data of these cases, the authors discussed the value and methods of early diagnosis. 2 cases of patients with polycythemia vera, 1 case of oral contraceptives, no obvious cause can be found. Patients with abdominal pain during onset 8 days to 6 months, followed by fever, bloating, muscle health, etc., but are not specific, and therefore were misdiagnosed as acute pancreatitis, acute mansonitis, ovarian cyst torsion, etc. . 4 cases of anal examination in the future found a small amount of blood in the stool, 4 cases of abdominal palpable mass after the abdomen. Abdominal X-ray failed to confirm the diagnosis. 1 case had