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果阿邦的急性缺血性肠炎

Acute ischaemic enteritis in Goa.

作者信息

Gupta S D, D'Silva V, Salelkar A V, Reys M

出版信息

Br J Surg. 1977 Jun;64(6):420-3. doi: 10.1002/bjs.1800640613.

Abstract

Acute ischaemic enteritis is an uncommon condition which mainly affects young people. It is characterized by ischaemic changes in the small or large bowel which may be reversible in the early stages. The exact aetiology is not known. The condition may be due to toxins produced by either roundworms or Gram-negative bacilli or may be due to a localized allergic reaction. It is possible to make a preoperative diagnosis in most cases from the presence of abdominal pain, bloody diarrhoea and shock. Conservative treatment may be best in early cases but surgery is necessary in those cases where gangrene or perforation has occurred.

摘要

急性缺血性肠炎是一种主要影响年轻人的罕见病症。其特征是小肠或大肠出现缺血性改变,在早期阶段可能是可逆的。确切病因尚不清楚。该病可能是由蛔虫或革兰氏阴性杆菌产生的毒素引起,也可能是由于局部过敏反应所致。在大多数情况下,根据腹痛、血性腹泻和休克的症状可以做出术前诊断。早期病例采用保守治疗可能效果最佳,但对于发生坏疽或穿孔的病例则需要进行手术。

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