浅谈伪膜性肠炎的临床特点及内镜下的表现  

Clinical features and Endoscopic performance of pesudomembranous colotis

作　　者：张丽[1] 郭强[1] 邓紫玉[1] 李亚平[1] 张建平[1] 

机构地区：[1]云南省第一人民医院,云南昆明650032

出　　处：《求医问药（下半月）》2013年第3期129-130,共2页Seek Medical and Ask The Medicine

摘　　要：目的:探讨分析伪膜性肠炎(pseudo membranous colitis,PMC)的临床特点及内镜下的表现,旨在总结此病的临床治疗方法及经验教训、提高临床诊治水平。方法:选取2006年～2011年间我院收治的因使用抗生素引发PMC的患者23例作为研究对象,并将其临床资料进行回顾性的分析。结果:PMC多见于年老体弱、基础病多、免疫力低下、外科大手术后及抗生素使用不规范的患者。结论:医护人员在为患者进行抗感染治疗的过程中,应时刻警惕PMC的发生。当患者出现腹泻等症状时应尽早为其进行内镜检查,并结合内镜检查的结果对其进行明确诊断。一旦确诊患者发生PMC后,应尽早停用抗生素,并使用甲硝唑或(和)万古霉素对其进行治疗。Objective To analyze the the clinical feature,Endoscopic findings, and treatment of antibiotic-associated pesudomembranous colotis(PMC).To summarize clinic lessons and to improve the level of diagnosis and treatment methods.Methods Retrospective and summarize 23 impatients with pseudomembranous colotis in the hospital from 2006 to 2011.Results PMC is more common in impatients with aged,more basisof diseases,low immunity,after a major surgical operation and antibiotic abusing.Conclusion Pseudomembranous colitis should be considered when patients used antibiotic.Patients with diarrhoea should do endoscopic examination to diagnosis.We should withdraw antibiotic as soon as possible and treat it with Metronidazole and Vancomycin after PMC was diagnosed.

关 键 词：伪膜性肠炎 临床特点 内镜表现 抗生素 甲硝唑 万古霉素 

分 类 号：R574[医药卫生—消化系统]