缺血性肠炎的临床特征及诊治方法  

Clinical characteristics and diagnostic methods of the ischemic enterocolitis

作　　者：刘德萍[1] 邱波[1] 董晓丽[1] 

机构地区：[1]山东省烟台市莱阳中心医院消化内科,莱阳265200

出　　处：《江西医药》2005年第7期380-382,共3页Jiangxi Medical Journal

摘　　要：目的探讨缺血性肠炎的临床表现及诊断方法。方法对21例缺血性肠炎病人的临床资料及诊治过程进行回顾性分析。结果本病多发生于50岁以上的中老年人(66.6%),且大多数(80.9%)伴有可能相关的基础疾病,包括心脑血管疾病、糖尿病、肝硬化及腹部手术史等,临床主要表现为急性剧烈的腹痛(100%)、便血(57.1%)(潜血试验100%)、腹泻腹胀等。结肠镜表现为粘膜充血、水肿、出血、糜烂及溃疡。B超可见肠壁增厚,彩色多普勒可直接显示肠系膜血管的情况、血流量。结论老年人剧烈腹痛后便血是缺血性肠炎的临床特征,结肠镜、B超、肠系膜血管造影等是比较可靠的辅助诊断方法。Objective To observate the clinical characteristics and diagnostics strategy of the ischemic enterocolitis.Methods Retrospective analyzed the clinical data of 21 patients with ischemic bowel disease.Results Of the 21cases,66.6% were over 50 years old.80.9% of the cases were associated with the basal diseases such as cardiocerebrovascular disorders,diabotes,liver cirrhosis as well as the history of abdominal operation.The common symptoms were abdominal pain（100%）,hematochezia（57.1%）,diarrhea and abdominal distention.The occult blood test of all cases was positive.Colonoscopy showed mucosal edema,congestion,erosion and ulceration.Ultrasonography showed bowel-wall thickened.The colour doppler flow imaging can showed the condition and blood flow of the vessels of mesentery.Conclusion Hematochezia after sharp abdominal pain in old man is the clinical characteristics.colonscopy,ultrasonography and mesenteric angiography are reliable methods for diagnosis.

关 键 词：缺血性肠炎 临床特征 诊断方法 

分 类 号：R574[医药卫生—消化系统]