右半结肠作为非闭塞性肠系膜缺血的靶器官。病例报告及文献复习。

The right colon as a target organ of nonocclusive mesenteric ischemia. Case report and review of the literature.

作者信息

Landreneau R J, Fry W J

机构信息

Department of Surgery, University of Texas Southwestern Medical Center, Dallas.

出版信息

Arch Surg. 1990 May;125(5):591-4. doi: 10.1001/archsurg.1990.01410170037007.

DOI:10.1001/archsurg.1990.01410170037007

PMID:2331215

Abstract

Nonocclusive mesenteric ischemia is a poorly understood process that infrequently complicates states of hemodynamic compromise. The right side of the colon appears to be particularly sensitive to this pathologic event. In a 25-year-old man, spinal shock from a gunshot injury to the thoracic spinal cord resulted in right colon necrosis from nonocclusive mesenteric ischemia. The anatomic and physiologic characteristics of the mesenteric circulation to the right colon that lead to this risk for nonocclusive mesenteric ischemia were studied.

摘要

非闭塞性肠系膜缺血是一个了解甚少的过程，很少会使血流动力学受损状态复杂化。结肠右侧似乎对这一病理事件特别敏感。一名25岁男性因胸段脊髓枪伤导致的脊髓休克引发了非闭塞性肠系膜缺血性右半结肠坏死。本研究了肠系膜对右半结肠的血液循环的解剖学和生理学特征，这些特征导致了非闭塞性肠系膜缺血的这种风险。