Kau M, Jensen S
Medicinsk haematologisk afdeling, Aalborg Sygehus.
Ugeskr Laeger. 1993 Jul 19;155(29):2251-4.
Neutropenic enterocolitis is a necrotising colitis, which most often develops in the setting of severe neutropenia. The symptoms are non-specific and among the differential diagnoses are appendicitis, ischaemic colitis and pseudomembranous enterocolitis. In practice neutropenic enterocolitis is seen in oncological, especially haematological, patients during chemotherapy induced neutropenia. The condition has a potentially lethal course and both medical and surgical treatment is possible; clinically controlled investigations on methods of treatment have not been available. Two cases are reported.
中性粒细胞减少性小肠结肠炎是一种坏死性结肠炎,最常发生于严重中性粒细胞减少的情况下。其症状不具有特异性,鉴别诊断包括阑尾炎、缺血性结肠炎和伪膜性小肠结肠炎。实际上,中性粒细胞减少性小肠结肠炎见于肿瘤患者,尤其是血液系统肿瘤患者化疗引起中性粒细胞减少期间。该病有潜在的致命病程,医疗和手术治疗均有可能;目前尚无关于治疗方法的临床对照研究。本文报告两例病例。