缺血性结肠炎的临床及内镜研究  

Clinical and endoscopic features of ischemic colitis

作　　者：王一鸣[1] 熊毅敏[1] 郑国荣[1] 徐维田[1] 许桦林[1] 

机构地区：[1]中国人民解放军武汉总医院消化内科,湖北武汉430070

出　　处：《中国内镜杂志》2008年第7期710-712,共3页China Journal of Endoscopy

摘　　要：目的总结缺血性结肠炎的临床表现及内镜特征。方法对该院2000年以来经结肠镜确诊的43例缺血性结肠炎患者的临床及内镜资料进行回顾性总结分析。结果该病50岁以上中老年人易患(38/4388.1%),多数患者伴有高血压、心血管疾病、脑梗死和便秘等基础疾病或诱因。临床主要表现为突发左下腹部痛、便血、腹泻三联征。病变部位主要发生在左侧结肠,内镜下主要表现为病变肠段黏膜充血、水肿、糜烂、溃疡及增生性改变且与正常肠黏膜界限分明。结论中老年人出现急性腹痛及血便时应警惕缺血性结肠炎的可能,及早行结肠镜检查对明确诊断、早期治疗、判断预后具有重要意义。[Objective] To study the clinical manifestation and endoscopic features of ischemic colitis (IC). [Methods] Forty -three patients diagnosed in our hospital with IC over a 8-year period (2000~2007) were retrospectively analyzed. The clinical and endoscopic data were studied. [Results] Of the 43 cases, 38 cases (88.1%) were over 50 years. 93% of the cases were associated with the basic diseases such as hypertension, cardiovascular disease, cerebral infarction and constipation. IC usually presented with sudden...

关 键 词：缺血性结肠炎 临床特点 内镜表现 

分 类 号：R574.62[医药卫生—消化系统]