Bruch H P, Broll R, Wünsch P, Schindler G
Chirurgische Universitätsklinik, Chirurgischen Universitätsklinik Würzburg.
Chirurg. 1989 Jun;60(6):419-25.
Reduced cardiac output is the pathogenetic cause of non-occlusive ischemic enteropathia. The abdominal symptoms develop latently and surgery prevalently ensues during the stage of intestinal wall necrosis or perambulating peritonitis. There is a lethality of 50-100% and 50% at this clinic. Prerequisites of early diagnosis are: anamnesis and clinical finding, - laboratory constellation, - sonography, - mesentericography. In early stages, conservative treatment by vasodilators is promising. The laparotomy, however, is indicated in most cases in order to identify necrosis or perforation and to allow surgery according to its stages.
心输出量降低是非闭塞性缺血性肠病的发病原因。腹部症状隐匿出现，手术多在肠壁坏死或弥漫性腹膜炎阶段进行。该临床病症的致死率为50% - 100%，在此诊所为50%。早期诊断的前提条件包括：病史与临床检查、实验室检查结果、超声检查、肠系膜造影。在疾病早期，使用血管扩张剂进行保守治疗具有前景。然而，在大多数情况下仍需进行剖腹手术，以确定坏死或穿孔情况，并根据疾病阶段进行手术。
