摘要
目的总结缺血性结肠炎（Ic）的临床特点和诊断方法，提高对该病的认识和治疗水平。方法对30例Ic患者的病史、临床表现、内镜检查、病理结果、治疗和转归进行回顾性分析。结果Ic好发于中老年人，男女之比为1：2．3，60岁以上患者占83：3％，且多数伴有相关的基础疾病。主要临床表现为突发腹痛及便血。内镜检查可见结膜黏膜充血、坏死糜烂及黏膜下出血，病变多位于左半结肠。扩血管及内科综合治疗均获良好效果。平均痊愈或好转时间为10d。结论中老年人突发腹痛及便血时应警惕IC，辅助检查可首选结肠镜，及时扩血管治疗大多预后良好。
Objective To analyze the clinical feature and diagnostic methods of patients with ischemic colitis （IC） for improving the recognition and the efficacy of therapeutic treatment. Methods Retrospective analysis of the clinical data of 30 cases of IC, including the medical history, clinical symptomatology, endoscopic appearance, histopa- thology,treatment and prognosis. Results IC occurred most of frequently in mid-aged and elders ,the male-female ra- tio was 1：2.3,83.3% of the patients were over 60 years old,and most them had underlying disease. Tile most com- mon presenting features were sudden abdominal pain and bloody stools. Endoscopic lesions located mainly in left co- lon. Mucosal edema, erosin and submucosal bleeding were common pathological feature. Vasodilator drugs and compre- hensive medical therapy had good effects. The average duration for healing or improving was 10 days. Conduslons IC should be suspected in all elder patients with sudden abdominal pain and bloody stools. Colonoscopy is helpful for diagnosis. The prognosis is good in most cases and with rapid recovery.
出处
《中国基层医药》
CAS
2010年第4期443-444,共2页
Chinese Journal of Primary Medicine and Pharmacy
