17例中老年人缺血性结肠炎的临床回顾分析  

Clinical and endoscopic features of ischemic colitis of elderly

作　　者：薛红新[1] 吴丽颖[1] 王金芝[1] 贾国法[1] 王晓天[1] 

机构地区：[1]淮北市人民医院,235000

出　　处：《中国老年保健医学》2010年第1期18-19,共2页Chinese Journal of Geriatric Care

摘　　要：目的总结缺血性结肠炎的临床及内镜特征。方法回顾性分析2006年至2009年间17例缺血性结肠炎患者的临床诊治经过及内镜特征。结果本病多发生于50岁以上中老年人(16/17,94.1%),女性多见(男:女为1:2.7),且多数患者(83.3%)伴有心脑血管疾病、糖尿病、便秘及腹部手术史等基础疾病或诱因。临床主要表现为突发左下腹疼痛、便血、腹泻三联征。病变部位主要发生在左半结肠,内镜下表现为与正常粘膜界限分明的结肠粘膜水肿、充血、糜烂、溃疡及增生性改变,病变多为一过型,如能早期诊断与治疗,多数预后良好。结论中老年人出现急性腹痛及便血时应警惕缺血性结肠炎的可能,早期诊断和治疗是预后良好的关键。Objective To study the clinical and endoscopic features of ischemic colitis（IC）.Methods Eighteen patients in our hospital with IC over 3 year period（2006-2009） were retrospectively analyzed.The clinical and endoscopic data were studied.Results Of the 17 cases,16 cases（94.1%） were over 50 years,83.3% of the cases were associated with the basic diseases such as cerebral and cardiovascular disease,constipation,and history of abdominal surgery.IC usually presented with sudden onset of left lower abdominal pain,hematochezia and diarrhea.The most common locations were on the left colon.Its main endoscopic appearance was the affected bowel mucosal congestion,edema,ulceration,hyperplasia,demareated with normal areas.Conclusion Ischemic colitis should be suspected in elderly patients with acute abdominal pain and hematochezia,early diagnosis and treatment play a critical role in prognosis.

关 键 词：缺血性结肠炎 临床特点 结肠镜检查 

分 类 号：R574.62[医药卫生—消化系统]