Bergqvist D, Bowald S, Eriksson I, Lannerstad O, Takolander R
Br J Surg. 1986 Jan;73(1):28-30. doi: 10.1002/bjs.1800730111.
Small bowel ischaemia causing necrosis is a rare complication after aorto-iliac reconstructive surgery. During a 14-year-period we have seen 6 cases out of 1343 reconstructions, making a frequency of 0.4 per cent. Diagnosis was difficult, causing a delay until re-exploration. Thrombocytopenia was a constant finding, and should raise suspicion. Pathogenesis was multifactorial. In two of our cases diagnosis was made at autopsy and in four at operation. Two patients survived extensive bowel resection but had a long stormy postoperative course.
导致坏死的小肠缺血是主动脉-髂动脉重建手术后一种罕见的并发症。在14年期间，我们在1343例重建手术中发现了6例，发生率为0.4%。诊断困难，导致延迟至再次探查。血小板减少是一个持续存在的发现，应引起怀疑。发病机制是多因素的。我们的病例中有2例在尸检时确诊，4例在手术时确诊。两名患者在广泛肠切除术后存活，但术后病程漫长且波折。
