Deleu H W
Arch Chir Neerl. 1976;28(1):55-62.
Necrotic colitis in the absence of organic obstruction of the mesenteric vessels is an extreme and fulminant form of ischemic colitis. This calamity with its high mortality rate usually occurs in patients with pre-existent cardiopathy. It is rare for necrotic colitis to occur as a complication of hypotension, hypovolemia or sepsis. A report is presented of a case of total gangrene of the colon in a patient with hemorrhagic shock. Certain concepts are presented concerning the etiology of non-occlusive intestinal infarction. It is postulated that the fulminant gangrene of the colon is co-induced by Gram-positive rods which are demonstrable even in the deep layers of the colonic wall.
无肠系膜血管器质性梗阻的坏死性结肠炎是缺血性结肠炎的一种极端且暴发性形式。这种死亡率高的灾难性疾病通常发生在已有心脏病的患者中。坏死性结肠炎作为低血压、血容量不足或脓毒症的并发症很少见。本文报告了一例出血性休克患者发生结肠全坏疽的病例。文中提出了一些关于非闭塞性肠梗死病因的观点。据推测，结肠的暴发性坏疽是由革兰氏阳性杆菌共同诱发的，这些细菌甚至在结肠壁深层也可检测到。
