感染性结肠炎误诊为溃疡性结肠炎的临床分析  

Infectious colitismisdiagnosed as ulcerative colitis clinical analyss

作　　者：何祥玉 

机构地区：[1]旺苍县嘉川中心卫生院,四川广元628200

出　　处：《心理医生（下）》2011年第6期220-220,共1页

摘　　要：目的探讨感染性结肠炎与溃疡性结肠炎的临床治疗方法方法15例患者均运用中药及常规补液支持治疗．未使用水杨酸类或激素类药物，其中1例因粪便培养阳性合并口服喹诺酮类抗生素治疗（疗程1周）。结果15例患者分别在住院后3—6d内便血停止，粪便性状恢复正常。在临床症状消失1—8周后复查肠镜，未见溃疡、糜烂、出血、水肿。15例患者随访6—12个月．未见症状复发，复查肠镜也未见异常。根据诊断性治疗的疗效，结合随访结果，确诊为Ic。结论对于急性起病的便血患者，肠镜医帅应仔细观察并分析肠镜下表现，临床医师应从饮食史、伴随症状。Objective Of infectious colitis and ulcerative colitis treatment Methodsl5 patients were to support the use of traditional Chinese medicine and conventional rehydration therapy. Do not use salicylic acid or steroids, 1 patient with positive stool cultures combined oral quinolone antibiotics （treatment 1 week）. Resultsl5 patients were hospitalized 3 -6 d after the cessation of blood in the stool, stool back to normal. Clinical symptoms disappeared in 1 -8 weeks after endoscopy, no ulcers, erosions, hemorrhage, edema. 15 patients were followed up for 6 - 12 months. No recurrence of symptoms, review colonoscopy is no exception. According to ＂diagnostic treatment efficacy, combined with follow - up results confirmed Ic. ConclusionL For patients with acute onset of hematochezia, colonoscopy doctors handsome colonoscopy should be carefully observed and analyzed under the performance of clinicians from diet history, accompanying symptoms, pathology and other aspects related to integrated to determine

关 键 词：感染性结肠炎 溃疡性结肠炎 临床分析 误诊 

分 类 号：R574.62[医药卫生—消化系统]