Wiklund L, Grevsten S, Nilsson F, Rimsten A
Acta Chir Scand. 1976;142(8):593-7.
Six cases of non-occlusive enteric gangrene in association with severe upper gastro-intestinal haemorrhage are described, the incidence of which corresponds to approximately one per cent of the patients with serious gastric bleedings. A brief discussion of the pathophysiology of ischaemic gut lesions is given. In order to reduce the incidence of this disease rapid and adequate treatment of all massive gastro-intestinal bleedings is emphasized. Patients with unexplained abdominal pain in association with haemorrhagic shock should especially be regarded as being at risk of developing the enteric gangrene.
本文描述了6例与严重上消化道出血相关的非闭塞性肠坏疽病例，其发病率约占严重胃出血患者的1%。文中对缺血性肠道病变的病理生理学进行了简要讨论。为降低该病的发病率，强调对所有大量胃肠道出血进行快速、充分的治疗。伴有出血性休克且原因不明的腹痛患者尤其应被视为有发生肠坏疽的风险。
