31例缺血性肠炎临床分析.doc

文档介绍：31例缺血性肠炎临床分析
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作者:罗欣民王松官段俊斐郑金国夏维海何永辉
【摘要】目的分析缺血性肠炎临床特征。方法回顾性分析31例缺血性肠炎患者的临床特征。结果 60岁以上27例(%);腹痛25例(%),便血20例(%),恶心、呕吐、腹胀11例(%),呕血4例(%),大便隐血全部阳性;结肠镜检查,病变位于降结肠13例(%),乙状结肠11例(%),其他部位共7例(%)。结论缺血性肠炎多发于中老年人,临床表现以腹痛便血为主,病变部位多位于降结肠和乙状结肠,结合B超、结肠镜、肠系膜血管造影可确诊缺血性肠炎。
【关键词】缺血性肠炎临床特征结肠镜
【Abstract】 Objective To review the clinical features of ischemic colitis. Methods To analyze retrospectively the clinical features of 31 cases of ischemic colitis. Results 27 cases over the age of 60 (%); 25 cases had abdominal pain (%), hematochezia 20 cases (%), nausea, vomiting, abdominal distension 11 patients (%), hematemesis in 4 cases (%), stool occult blood all positive; colonoscopy, lesions in the descending colon in 13 cases (%), sigmoid colon in 11 patients (%), other parts in 7 cases(%). Conclusion Ischemic colitis mainly in the elderly. The main clinical manifestations were abdominal pain and hematochezia. Lesions were located in the descending colon and sigmoid colon. Combined with B ultrasound, colonoscopy and mesenteric angiography, ischemic colitis can be diagnosed.
【Key words】 ischemic colitis clinical feature colonoscopy
缺血性肠炎是由于肠道血液灌注不良所致的结肠缺血性疾病,多见于中老年人。临床表现有腹痛、便血、恶心、呕吐、腹泻,甚至肠坏死、穿孔、腹膜炎、感染性休克,部分患者需行手术治疗。由于上述症状缺乏特异性及该病临床较少见,误诊率较高。现回顾分析我院2000年至2010年收治的31例缺血性结肠炎患者的临床特征、内镜表现