Barkhatov I V
Klin Med (Mosk). 2013;91(10):53-7.
Peculiarities of clinical manifestations of chronic abdominal ischemia syndrome were studied. Clinical diagnostics of this condition encounters difficulties for the lack of pathognomonic symptoms, diversity of symptoms and similarity with other abdominal diseases. The study involving 110 patients with chronic abdominal pain syndrome included assessment of medical histories, duration of the disease, signs of concomitant gastroenetologic pathology (meteorism, colonic dysfunction, reduced body mass, etc.). The data obtained illustrate peculiarities of the clinical picture giving reason to suspect chronic abdominal ischemia syndrome at the early stage of its development. Such features as the absence of treatment effect, increased frequency, duration and severity of abdominal pain, its extension to all parts of the abdomen and association with food intake, colonic dysfunction (meteorism, constipation) and reduced body mass require exclusion of this syndrome in patients with persistent abdominal pain. The data obtained may be used in early diagnostics of chronic abdominal ischemia syndrome and differentiate it from other abdominal diseases.
对慢性腹部缺血综合征的临床表现特点进行了研究。由于缺乏特征性症状、症状多样且与其他腹部疾病相似，该病症的临床诊断存在困难。这项涉及110例慢性腹痛综合征患者的研究包括对病史、疾病持续时间、伴随的胃肠病学病理体征（腹胀、结肠功能障碍、体重减轻等）的评估。所获得的数据说明了临床表现的特点，为在慢性腹部缺血综合征发展的早期阶段怀疑该病症提供了依据。诸如治疗无效、腹痛频率增加、持续时间延长和严重程度加重、腹痛扩展至腹部所有部位并与进食相关、结肠功能障碍（腹胀、便秘）以及体重减轻等特征，需要在持续性腹痛患者中排除该综合征。所获得的数据可用于慢性腹部缺血综合征的早期诊断，并将其与其他腹部疾病相鉴别。
