Tonni M P, Balducci D, Lippa M, Morandi O, De Luca F, Pancaldi R, Postiglione V, Bruni G C
Divisione di Chirurgia, USSL n. 44, Ospedale di Montichiari, Brescia.
Minerva Chir. 1992 Oct 15;47(19):1521-7.
Acute intestinal ischemia is a pathology which is relatively often encountered in elderly patients where the concomitance of other diseases make its prognosis more severe, especially since diagnosis is usually late. Laboratory tests and imaging techniques are not of great value to diagnosis since they do not provide pathognomonic data, but together with a careful anamnesis they contribute a series of findings which, taken as a whole, lead to the diagnosis of intestinal ischemia. The sole therapy is surgery--when still possible and the best results are obtained when surgery is performed at an early stage. The authors report a series of 12 cases of acute intestinal ischemia and underline the difficulty of diagnosing this subtle pathology and the advantages of aggressive surgical techniques.
急性肠缺血是一种在老年患者中相对常见的病理状况，其他疾病的并存使其预后更为严重，尤其是因为诊断通常较晚。实验室检查和影像学技术对诊断价值不大，因为它们不能提供确诊数据，但与详细的病史采集一起，它们能提供一系列发现，综合起来可得出肠缺血的诊断。唯一的治疗方法是手术——如果仍有可能的话，且早期进行手术可获得最佳效果。作者报告了一系列12例急性肠缺血病例，并强调了诊断这种隐匿性病理状况的困难以及积极手术技术的优势。
