Rygh J, Mosvold J, Serck-Hanssen A
Medisinsk avdeling Lovisenberg sykehus, Oslo.
Tidsskr Nor Laegeforen. 1990 May 30;110(14):1825-7.
Transient ischemia of the colon may be so severe as to cause segmental strictures, but in other cases it may be so slight that the damage heals up without any demonstrable morphological changes. The patients are often older than 60 years. Characteristic clinical features are acute abdominal pain and simultaneous bloody diarrhea. The diagnosis is normally made on the basis of clinical and colonoscopic findings and typical histological changes in biopsies. It is important to make a correct diagnosis at an early stage because close observation is necessary for some days. No specific treatment is needed.
结肠短暂性缺血可能严重到足以导致节段性狭窄,但在其他情况下可能很轻微,以至于损伤愈合后没有任何明显的形态学变化。患者通常年龄超过60岁。典型的临床特征是急性腹痛和同时出现的血性腹泻。诊断通常基于临床和结肠镜检查结果以及活检中的典型组织学变化。早期做出正确诊断很重要,因为需要密切观察数天。无需特殊治疗。