溃疡性结肠炎的治疗.ppt

文档介绍：溃疡性结肠炎诊治规范和难点
王良静
Definition
IBD refers to the subacute and chronic inflammatory disorders of gut, whose etiology is not clear yet; usually includes Ulcerative colitis (UC) and Crohn’s disease (CD).
Ulcerative Colitis
Crohn’s Disease
cobblestone
ANATOMIC DISTRIBUTION
CLINICAL PATTERNS
Clinical Patterns of Crohn’s Disease
Longitudinal Ulcer
Cobblestone Appearance
病例
患者男,51岁,
于入院半年前(12月份)在无明显诱因下出现稀便,色黄伴粘液,无脓血,4~5次/天,伴下腹痛。粪常规:白细胞>50/HP,红细胞0~2/HP, 拟诊菌痢, 予抗感染治疗,1个月后症状缓解。
病例
近一月来症状复发,解便10一20次/天,伴中度发热,钡灌肠示早期溃疡性结肠炎(UC)可能。
入院体检
体温 ℃
心率 84 次/分,
呼吸 18次/分,血压 100/70mmHg
腹软,左下腹轻压痛,无肌卫
无反跳痛,肠鸣音正常