Riemenschneider T, Maier G, Heitland W
Abteilung Allgemeine Chirurgie, Chirurgischen Universitätsklinik, Tübingen.
Chirurg. 1987 Dec;58(12):823-7.
Comparing 105 patients with mesenteric infarction, the typical attributes of the underlying diseases, arterial embolization (aE) (n = 26), arterial thrombosis (aT) (n = 40), venous thrombosis (vT) (n = 32) and combined arterio-venous occlusion (n = 7) could be demonstrated. Present heart disease, diabetes and arterial hypertonia, rapid onset of symptoms, severe abdominal pain and signs of peritonitis, extended gangrene of bowel and a high mortality of about 90% is the typical combination for aE. Over 70 years old patients with higher incidence of arteriosclerosis, more digitalis intake, longer duration of symptoms and with bowel problems in the past have a higher incidence of aT and a slightly better prognosis. Risk of thrombosis, long-standing symptoms and a clearly better prognosis are typical for the vT.
对105例肠系膜梗死患者进行比较,可发现潜在疾病的典型特征,即动脉栓塞(aE)(n = 26)、动脉血栓形成(aT)(n = 40)、静脉血栓形成(vT)(n = 32)和动静脉联合闭塞(n = 7)。存在心脏病、糖尿病和动脉高血压,症状发作迅速,腹痛严重且有腹膜炎体征,肠管广泛坏疽以及约90%的高死亡率是aE的典型组合。70岁以上患者动脉硬化发生率较高,洋地黄摄入量较多,症状持续时间较长且过去有肠道问题,aT的发生率较高且预后稍好。血栓形成风险、症状持续时间长且预后明显较好是vT的典型特征。