Department of Colorectal Surgery, Royal Free Hospital, NHS Trust & University College London, London, UK.
Colorectal Dis. 2011 Jul;13(7):744-7. doi: 10.1111/j.1463-1318.2010.02272.x. Epub 2010 Mar 30.
Ischaemic colitis is uncommon. Aetiological factors include abdominal aortic surgery, drugs (especially inotropics) or rheumatoid diseases, such as Takayasu's or Buerger's diseases. However, there is often no triggering factor, and it may be part of multifactorial cardiac, respiratory, renal or metabolic failure.
A systematic review of the current literature on the management of ischaemic colitis was carried out.
Ten retrospective trials (841 patients) were included. No randomized controlled or prospective trial of the management of ischaemic colitis was found.
There is very little evidence base for the management of this condition.
缺血性结肠炎并不常见。病因包括腹主动脉手术、药物（特别是正性肌力药）或类风湿性疾病，如 Takayasu 病或伯格氏病。然而，通常没有触发因素，它可能是多因素心脏、呼吸、肾脏或代谢衰竭的一部分。
对缺血性结肠炎的当前文献进行了系统回顾。
纳入了 10 项回顾性试验（841 例患者）。未发现缺血性结肠炎管理的随机对照或前瞻性试验。
对于这种疾病的治疗，证据基础非常有限。
