Saegesser F
Clin Gastroenterol. 1981 Jan;10(1):145-75.
The frequency of the "acute abdomen" has increased with the ageing of the population. In this chapter, we have examined syndromes of primary vascular origin, caused by vascular dysfunction, such as alterations in the vascular walls or haemodynamic disorders. We have left aside secondary vascular problems such as strangulation, obstruction or compression of vessels by tumours, which are easier to treat and diagnose and have a better prognosis. The symptoms of acute ischaemia caused by intrinsic vascular deficiency are not specific and clinical tests are untrustworthy. Despite progress in our knowledge of splanchnic haemodynamics, in radiology, vascular surgery and endoscopy, the prognosis remains poor. In view of the cataclysmic nature of the haemorrhage or the damage to the intestinal walls which evolves swiftly towards gangrenous necrosis, very rapid diagnosis of any of these various syndromes is essential if the patient is to be saved.
随着人口老龄化，“急腹症”的发病率有所上升。在本章中，我们研究了由血管功能障碍引起的原发性血管源性综合征，如血管壁改变或血流动力学紊乱。我们未涉及继发性血管问题，如肿瘤对血管的绞窄、阻塞或压迫，这些问题更容易治疗和诊断，且预后较好。由内在血管缺陷引起的急性缺血症状不具有特异性，临床检查也不可靠。尽管我们在脏血流动力学、放射学、血管外科和内窥镜检查方面的知识有所进步，但预后仍然很差。鉴于出血或肠壁损伤的灾难性性质会迅速发展为坏疽性坏死，如果要挽救患者，对这些不同综合征中的任何一种进行非常快速的诊断至关重要。
