缺血性结肠炎78例临床研究  

Clinical Study of Ischemic Colitis: A Retrospective Analysis of 78 Cases

作　　者：杨华元[1] 张明刚[1] 王远新[1] 韩春丽[1] 施光美[1] 卢家馨[1] 

机构地区：[1]北京中日友好医院消化内科,100029

出　　处：《中国全科医学》2006年第11期883-885,共3页Chinese General Practice

摘　　要：目的 探讨缺血性结肠炎的临床特点、内镜特征和诊治要点。方法 回顾性分析1995年10月-2005年12月78例缺血性结肠炎的临床资料。结果 缺血性结肠炎好发于老年人，多伴有相关基础疾病，主要临床表现是急性下腹痛和便血。内镜检查提示病变主要发生在左半结肠，呈节段性分布，结肠黏膜高度水肿、充血、糜烂、坏死及溃疡。大多数病例呈一过性表现，如能早期诊断与治疗，预后良好。结论 对老年患者出现急性腹痛和便血且伴有心、脑血管疾病以及糖尿病的应考虑有缺血性结肠炎的可能，病变转归与发病年龄、病变程度及病程长短、伴随的基础疾病以及有无并发症可能相关。内镜检查在明确诊断、早期治疗和判断顸后上具有重要意义。Objective To investigate clinical presentations, endoscopic findings and crucial points in diagnosis of ischemic colitis. Methods Retrospective analysis was used for 78 cases of ischemic colitis from May 1995 to December 2005. Results Ischemic colitis was most common in old people, especially those with history of previous related diseases. Important manifestations were lower abdominal pain and bloody stool. Endoscopic findings showed main lesions located in left colon with appearance of severe mucosal edema, congestion, erosion, necrosis and ulceration. In most cases clinical features were transitional and patients had better prognosis as early diagnosis and treatment were given. Conclusion Ischemic colitis should be considered for elderly patients with previous cardiovascular disease, cerebrovascular disease and diabetes mellitus complaining acute abdominal pain and bloody stool. Endoscopy is very important for accurate diagnosis, early management and understanding prognosis. The results of treatment are related to age, severity of lesions, course, previous disease and complications.

关 键 词：结肠炎 缺血性 临床特点 结肠镜检验 

分 类 号：R574.62[医药卫生—消化系统]