【摘要】 目的分析缺血性结肠炎的临床资料,探讨其临床特点,提高对该疾病的认识和临床诊治水平。方法对31例缺血性结肠炎患者的临床表现、结肠镜检查、辅助检查、治疗经过以及转归等进行回顾性研究。结果缺血性结肠炎多发于老年患者,其中>60岁者占54.8%(17/31)。多伴有高血压、冠心病、脑梗塞、糖尿病等基础疾病。腹痛、腹泻以及便血为主要临床表现。结肠镜下主要表现为黏膜充血、水肿、糜烂、溃疡,病变主要见于左半结肠,呈节段性分布,多数患者预后良好。结论缺血性结肠炎临床症状与体征缺乏特异性,对于不明原因出现腹痛、血便或腹膜刺激征的中老年人应考虑缺血性结肠炎的可能,充分运用相关辅助检查,以明确诊断,指导治疗。更多还原

【Abstract】 Objective To analyze the clinical features of ischemic colitis,raise the diagnosis and treatment. Methods A total of 31 patients were analyzed respectively on the clinical features,colonoscopy finding,auxiliary examination data,treatment and outcomes. Results Ischemic colitis occurred more often in elderly patients. In our series, 54. 8%( 17 /31) of patients were older than 60 years. These patients often accompanied basic diseases,such as high blood pressure,coronary heart disease,stroke,diabetes and other underlying diseases. Abdominal pain,diarrhea,and blood were the main clinical manifestations. Colon endoscopy with mucosal hyperemia,edema and erosions,ulcers and other major,non-specific performance,lesions were seen mainly in the left hemicolon. Most patients had good prognosis. Conclusion The clinical symptoms and signs of ischemic colitis lacked specificity. Middle-aged and elderly people with unexplained abdominal pain,blood or peritoneal irritation sign should consider ischemic colitis.更多还原