Hagihara P F, Parker J C, Griffen W O
Dis Colon Rectum. 1977 Apr;20(3):236-51. doi: 10.1007/BF02587185.
Eighteen cases of spontaneous ischemic colitis are reviewed. The diagnosis was established according to the following criteria: 1) clinical background, 2) clinical characteristics, 3) morphologic characteristics, and 4) clinical and morphologic course. The last three constituted the diagnostic criteria. The cases were divided into mild-to-moderate, moderate-to-severe, and gangrenous categories. Although data on clinical background did not establish the diagnosis of spontaneous ischemic colitis, they were essential in strict diagnosis. Patients who had histories of Crohn's disease, chronic ulcerative colitis, and recent antibiotic administration were excluded from consideration. Appropriate stool examinations obtained in all of the mild-to-moderate and all except two of the moderate-to-severe cases excluded colitis due to pathogenic bacterial organisms or parasites. Spontaneous ischemic colitis generally occurs in older individuals; the average age in our patients was 60 years. Twelve of the 18 patients had at least some evidence of major cardiovascular disease.
回顾了18例自发性缺血性结肠炎病例。诊断依据以下标准确立：1）临床背景，2）临床特征，3）形态学特征，4）临床及形态学病程。后三项构成诊断标准。病例分为轻至中度、中至重度和坏疽型。虽然临床背景数据未确立自发性缺血性结肠炎的诊断，但在严格诊断中至关重要。有克罗恩病、慢性溃疡性结肠炎病史及近期使用抗生素的患者被排除在外。所有轻至中度病例以及除两例外的所有中至重度病例均进行了适当的粪便检查，排除了由致病细菌或寄生虫引起的结肠炎。自发性缺血性结肠炎一般发生在老年人中；我们患者的平均年龄为60岁。18例患者中有12例至少有一些重大心血管疾病的证据。
