Griffin P H, Schnure F W, Chopra S, Brooks D C, Gilliam J I
J Clin Gastroenterol. 1986 Jun;8(3 Pt 2):389-94. doi: 10.1097/00004836-198606002-00012.
Intramural gastrointestinal hemorrhage should be suspected in patients taking anticoagulants who develop acute abdominal symptoms with clotting parameters out of the therapeutic range. Likewise, patients with inherent bleeding disorders may present with intramural hemorrhage. Characteristic features are seen on radiological examination; ultrasonography or computed tomography may be valuable noninvasive diagnostic approaches. The diagnosis may be supported by abdominal paracentesis. Surgical intervention is not necessary as conservative treatment, with replacement of clotting factors leading to rapid recovery.
正在服用抗凝剂的患者若出现急性腹部症状且凝血参数超出治疗范围，应怀疑有胃肠道壁内出血。同样，患有先天性出血性疾病的患者也可能出现壁内出血。放射学检查可见特征性表现；超声检查或计算机断层扫描可能是有价值的非侵入性诊断方法。腹腔穿刺术有助于诊断。由于保守治疗（补充凝血因子）可使患者迅速康复，故无需进行手术干预。
