Pircher W, Kessler B, Köchy H P, Rühland D, Stegemann B
MMW Munch Med Wochenschr. 1979 Nov 9;121(45):1501-4.
Between 1964 and 1978 twenty patients suffering from acute mesenteric vascular occlusion were treated in the surgical department (University of Münster). The average duration of the anamnesis until their hospitalization was 3.1 days and the actual operation was performed 11.35 hours later on the average. In only 15% of the cases had a correct preoperative diagnosis been given. As regards the frequency of causation, 60% of the mesenteric vascular occlusions were caused by a mesenteric arterioembolism, 20% by a mesenteric venous embolism, 10% by a mesenteric arterial thrombosis and 10% by a non-obstructive occlusion. In a post cardiac infarction condition was the predisposing factor in 50% of all cases, valvular defect in 33.5% and tachyarrhythmia in 16.6%. The causes found for the mesenteric venous tbrombosis were insufficiency of the right heart, absolute bradyarrhythmia, recurrent venous thrombosis of the leg, and myeloproliferative syndromes.
1964年至1978年间，明斯特大学外科治疗了20例急性肠系膜血管闭塞患者。从发病到住院的平均病史时长为3.1天，实际手术平均在11.35小时后进行。仅15%的病例术前诊断正确。至于病因发生频率，60%的肠系膜血管闭塞由肠系膜动脉栓塞引起，20%由肠系膜静脉栓塞引起，10%由肠系膜动脉血栓形成引起，10%由非阻塞性闭塞引起。在所有病例中，50%的诱发因素是心肌梗死后状态，33.5%是瓣膜缺损，16.6%是快速心律失常。发现的肠系膜静脉血栓形成的病因是右心功能不全、绝对缓慢性心律失常、腿部复发性静脉血栓形成和骨髓增殖综合征。
