缺血性结肠炎30例临床诊治分析  

Analysis on the Clinical Diagnosis and Treatment of Ischemic Colitis of 30 Cases

作　　者：居海红 邓德昌 方晓明[1] 沈文晓 

机构地区：[1]浙江省海宁市第二人民医院,浙江海宁314419

出　　处：《中国肛肠病杂志》2012年第2期43-44,共2页Chinese Journal of Coloproctology

摘　　要：为探讨缺血性结肠炎的临床诊治特点，回顾分析近3年收治的30例缺血性结肠炎患者的临床特点及诊治资料。结果显示，该病发病率有增高趋势，且女性多于男性；临床表现以腹痛、便血和D-二聚体增高三联征为主；急诊肠镜检查有诊断价值；本组28例患者接受阿司匹林治疗，效果良好。结果表明，缺血性结肠炎以三联征临床表现和急诊肠镜检查便可确诊，以阿司匹林为主的药物治疗效果良好。In order to investigate the features of clinical diagnosis and treatment of ischemic colitis authors retrospectively analysed the diagnosis and treatment data of 30 cases with this disease in recent 3 years,and found out their clinical features. As results, the morbidity of this disease had been increasing in trend, fe- male were more than male; clinical manifestation was predominant by the triple symptoms of abdomen pain, bloody feces and D-dimer level increase, emergency enteroscopy had diagnostic value;among the 30 cases 28 were cured through aspirin treatment. Results show that for ischemic colitis by the triple symptoms of abdomen pain,bloody feces, D-dimer level increase and emergency enteroscopy can confirm the diagnosis, medication mainly used aspirin can get better outcome.

关 键 词：缺血性结肠炎 诊断 治疗 

分 类 号：R574.62[医药卫生—消化系统]