Weckner W, Schau H P, May D
Zentralbl Chir. 1982;107(7):369-77.
4 cases of severe necrotising enteritis are dealt with. The small intestine was affected 3 times, the colon once, One patient died after resection of the affected bowel segment. In 2 additional cases a large resection of the small intestine became necessary. One patient was treated conservatively. The bacteriological evidence of Clostridium perfringens type C in the intestinal wall allows the assumption of a primarily bacterial genesis of this disease. Its aetiology, clinical and pathological-anatomic picture and the therapy are being discussed.
本文报道了4例严重坏死性小肠炎的治疗情况。小肠受累3例次,结肠受累1例次。1例患者在切除受累肠段后死亡。另外2例患者需要进行广泛的小肠切除术。1例患者接受了保守治疗。肠壁中检测到C型产气荚膜梭菌的细菌学证据提示本病可能主要由细菌感染引起。本文还讨论了其病因、临床及病理解剖表现和治疗方法。