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18例伪膜性肠炎的内镜及临床分析
Clinical analysis and endoscope of colon on 18 cases of pseudomembranous colonitis
【摘要】 目的探讨伪膜性肠炎(PMC)的临床表现、内镜特征及治疗。方法对该院5年来的18例PMC进行了回顾性分析。结果全部患者均在使用抗生素过程中出现以腹泻为主要临床表现。内镜检查轻度5例、中度7例、重度6例。所有患者停用抗生素,口服甲硝唑或万古霉素后,全部治愈。结论在临床抗感染治疗过程中,应警惕PMC的发生。一旦出现腹泻应尽早做内镜检查、早诊断,早治疗。
【Abstract】 [Objective] To explore the endoscope of colon, clinical mansifestations and the therapy of the pseudomembranous colonitis. [Method] The clinical data of 18 cases were retrospectively analysed. [Results] All the patients appear diarrhoea during antibiotics was used, the data in the endoscope of colon prmotes the appearance of pseudomembranous colonitis. We found 5 slight petients, 7 medium patients, 6 serious patients. All the patiens were cured by taking Metronidazole or Vancomvcin after stopping using antibiotics. [Condusion] Pseudomembranous colonitis is one of severe side efects of antibiotics. So the antibiotics should be rationaly used. Once the diarrhoea appears during the antibiotics is used, paients should go to the endoscope of colon as soon as possible. Diagnose and treat early.
- 【文献出处】 中国内镜杂志 ,China Journal of Endoscopy , 编辑部邮箱 ,2006年08期
- 【分类号】R516.1
- 【被引频次】4
- 【下载频次】94