Zeier M, Hupp T, Wiesel M, Rambausek M, Ritz E
Sektion Nephrologie, Abteilung Innere Medizin, Chirurgische Universitätsklinik, Heidelberg.
Dtsch Med Wochenschr. 1993 Jul 16;118(27-28):1020-4. doi: 10.1055/s-2008-1059421.
A 52-year-old man on haemodialysis treatment for chronic glomerulonephritis also had a nephrotic syndrome, hypercholesterolaemia, severe arterial hypertension and peripheral vascular disease in stage IIb. He also was a heavy smoker. Following a nonspecific diarrhoeal illness, which caused haemoconcentration, he developed abdominal pain and fever. WBC count (29,000/microliter) and serum lactate level (18.2 mmol/l) were elevated, and there were clinical signs of lower abdominal peritonitis. Laparotomy revealed multiple ischaemic segments. The arteries were not thrombosed but had severe atheromatous changes. There is an increasing incidence of such nonocclusive intestinal ischaemia because there are more elderly people and more patients with high-risk factors among those requiring dialysis.
一名52岁男性因慢性肾小球肾炎接受血液透析治疗，同时患有肾病综合征、高胆固醇血症、重度动脉高血压以及IIb期外周血管疾病。他还是一名重度吸烟者。在经历了一次导致血液浓缩的非特异性腹泻疾病后，他出现了腹痛和发热症状。白细胞计数（29,000/微升）和血清乳酸水平（18.2毫摩尔/升）升高，并且有下腹部腹膜炎的临床体征。剖腹探查发现多个缺血段。动脉未形成血栓，但有严重的动脉粥样硬化改变。由于在需要透析的人群中老年人增多且高危因素患者增多，这种非闭塞性肠缺血的发病率正在上升。
