Diamond S M, Emmett M, Henrich W L
JAMA. 1986 Nov 14;256(18):2545-7.
Bowel infarction as a frequent occurrence in patients with end-stage renal disease has not been previously recognized. This report describes 12 dialysis patients with nonocclusive bowel infarction. All patients with bowel infarction had large weight losses secondary to vomiting, diarrhea, or ultrafiltration when undergoing dialysis, preceding the development of this disease. Of the potential risk factors analyzed, frequent and severe hypotension (systolic blood pressure, less than 100 mm Hg) when receiving dialysis occurred more commonly in patients developing bowel infarction. The weight loss was not often recognized initially as an important compromising problem. A fatal outcome was experienced in nine of the 12 patients. We conclude that bowel infarction may be a significant cause of morbidity and mortality in dialysis patients.
肠梗死在终末期肾病患者中是一种常见情况，但此前尚未被认识到。本报告描述了12例非闭塞性肠梗死的透析患者。所有肠梗死患者在发病前接受透析时，均因呕吐、腹泻或超滤导致体重大幅下降。在分析的潜在危险因素中，接受透析时频繁且严重的低血压（收缩压低于100毫米汞柱）在发生肠梗死的患者中更为常见。体重减轻最初并不常被视为一个重要的不利问题。12例患者中有9例死亡。我们得出结论，肠梗死可能是透析患者发病和死亡的一个重要原因。
