Appel R G
Department of Medicine/Nephrology, Bowman Gray School of Medicine, Winston-Salem, N.C. 27157-1053.
Am J Nephrol. 1994;14(3):230-2. doi: 10.1159/000168723.
An unexpected case of nonocclusive mesenteric infarction in a patient on continuous ambulatory peritoneal dialysis is described. The common clinical finding in this entity is a low cardiac output state or even circulatory collapse. Nonocclusive mesenteric infarction has been reported very rarely during continuous ambulatory peritoneal dialysis, and only in the setting of cardiac dysfunction or prolonged hypotension. The current patient had none of the typical features commonly described in the clinical setting of nonocclusive mesenteric infarction; potential mechanisms, including the role of erythropoietin, in the genesis of this disorder are discussed.
本文描述了一例持续非卧床腹膜透析患者发生非闭塞性肠系膜梗死的罕见病例。该疾病的常见临床特征是心输出量降低甚至循环衰竭。非闭塞性肠系膜梗死在持续非卧床腹膜透析期间报道极少，且仅发生于心脏功能不全或长期低血压的情况下。当前患者并无非闭塞性肠系膜梗死临床背景中常见的典型特征；本文还讨论了包括促红细胞生成素作用在内的该疾病发生的潜在机制。
