Whitehead R
Gut. 1971 Nov;12(11):912-7. doi: 10.1136/gut.12.11.912.
In 20 cases of ischaemic enterocolitis unassociated with lesions of major vessels, fresh thrombi were found in the small vessels of the bowel wall and were widespread in other tissues. The capillaries of the renal glomeruli and vessels in the lung were the commonest sites. Pseudo-membranous enterocolitis is shown to be an early or more slowly evolving but identical entity to other forms of so-called ischaemic enterocolitis. This is a condition which includes ischaemic enterocolitis, postoperative enterocolitis, necrotizing enterocolitis, and probably some cases of clostridial and staphylococcal enterocolitis. It is due to an episode of intravascular coagulation occurring principally in the gut wall but also elsewhere.
在20例与大血管病变无关的缺血性小肠结肠炎病例中,在肠壁小血管中发现新鲜血栓,且在其他组织中广泛存在。肾小球毛细血管和肺血管是最常见的部位。伪膜性小肠结肠炎被证明是一种早期或进展较为缓慢但与其他形式的所谓缺血性小肠结肠炎相同的病症。这种病症包括缺血性小肠结肠炎、术后小肠结肠炎、坏死性小肠结肠炎,可能还包括一些梭菌性和葡萄球菌性小肠结肠炎病例。它是由于主要发生在肠壁但也发生在其他部位的血管内凝血发作所致。