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非闭塞性肠出血性坏死

Nonocclusive hemorrhagic necrosis of the intestine.

作者信息

Cohen S E, Feldman M I, Wolfman E F

出版信息

West J Med. 1974 Dec;121(6):449-55.

Abstract

Hemorrhagic intestinal necrosis occurs without demonstrable mechanical obstruction of the mesenteric vascular supply. The etiologic factors include (1) congestive heart failure, (2) cardiac arrhythmia, (3) dehydration, and (4) digitalis therapy with or without digitalis toxicity. All of these factors have been shown to result in a decrease in splanchnic blood flow. The outcome of this disease has invariably been fatal. Early recognition and nonoperative management directed toward increasing splanchnic blood flow are the most significant factors in the survival of patients.

摘要

出血性肠坏死在无肠系膜血管供应明显机械性梗阻的情况下发生。病因包括:(1)充血性心力衰竭;(2)心律失常;(3)脱水;(4)使用洋地黄治疗,伴或不伴有洋地黄毒性。所有这些因素均已证明会导致内脏血流减少。这种疾病的结局始终是致命的。早期识别以及旨在增加内脏血流的非手术治疗是患者存活的最重要因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eb46/1129643/508966216a7e/westjmed00304-0022-a.jpg

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本文引用的文献

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HEMORRHAGIC NECROSIS OF THE INTESTINE. A CLINICAL SYNDROME: PRESENCE WITHOUT ORGANIC VASCULAR OCCLUSION.
Arch Surg. 1964 Jul;89:42-53. doi: 10.1001/archsurg.1964.01320010044006.
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Small intestinal blood flow.小肠血流量。
Am J Dig Dis. 1963 Jul;8:587-613. doi: 10.1007/BF02239457.
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Acute hemorrhage and necrosis of the intestines associated with digitalization.
Circulation. 1961 Mar;23:358-64. doi: 10.1161/01.cir.23.3.358.
9
Infarction of the bowel in cardiac failure.心力衰竭时的肠梗死
N Engl J Med. 1958 May 1;258(18):879-81. doi: 10.1056/NEJM195805012581804.
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Nonocclusive mesenteric infarction.
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