关键词: 急性门静脉血栓, 肠缺血, 抗凝, 溶栓

Abstract: Diagnosis and treatment of mesenteric ischemia secondary to acute portal vein thrombosis        LIU Cheng, LI Xiao-qiang. Department of Vascular Surgery，Nanjing Drum Tower Hospital Affiliated to Medical School of Nanjing University，Nanjing 210008，China
Corresponding author：LI Xiao-qiang，E-mail：flytsg@126.com
Abstract    Mesenteric ischemia represents an uncommon complication of acute port vein thrombosis. Though occurrence raises a lot in patients with underling diseases which requires a high level of suspicion to diagnose and therapy in a timely manner. The diagnosis of acute mesenteric ischemia and splanchnic vein thrombosis remains difficult due to the non-specific symptoms of those conditions. As diagnosis does continue to improve，treatment of acute mesenteric ischemia using medical management has become increasingly possible before it advances to the point at which surgical resection is required. For those failed in conservative treatment，the combination of interventional with surgical therapy should be actively operated.

Key words: acute port vein thrombosis, mesenteric ischemia, anticoagulation, thrombolysis