缺血性结肠炎的临床特征及转归  

Clinical Features and Outcome of Ischemic Colitis

作　　者：张佳莹[1] 谢冬玲[1] 王辉[1] 于久飞[1] 

机构地区：[1]民航总医院消化内科,北京100123

出　　处：《中外医疗》2014年第14期49-50,共2页China & Foreign Medical Treatment

摘　　要：目的观察缺血性结肠炎(Ischemic colitis,IC)的临床特征及转归情况。方法回顾性分析39例IC患者的临床资料及内镜特征,并对其进行随访。结果 IC好发于中老年人,60岁以上患者占69.2%,多伴有相关基础疾病(82.1%,32/39),包括高血压、心脑血管疾病及糖尿病等。临床主要表现为腹痛、便血等症状,病变多发生于左半结肠,呈节段性分布。多数患者预后良好,39例患者中5.1%(2/39)于住院期间死亡,1例患者于随访期间出现复发。结论结肠镜检查是诊断早期IC的主要方法,IC复发率低。Objective To observe the clinical features and outcome of ischemic colitis（IC）. Methods A retrospective analysis of the clinical data and endoscopic findings of 39 patients with IC was conducted. And the patients were followed up. Results Ischemic colitis usually occurs in elderly patients. Of the 39 cases, 69.2% were over 60 years. 82.1%（32/39） of the cases were associated with the basal diseases such as hypertension, cardio-cerebrovascular disorders, diabetes, etc. The common features included abdominal pain and hematochezia. Colonoscopy showed the lesions located mainly in left colon with segmental form. The prognosis was good in most cases. For the 39 patients included in the study, in-hospital mortality was 5.1%（2/39）. Recurrent IC occurred in only 1 patient during the follow-up. Conclusion Colonoscopy is the main method for the early diagnosis of IC. The recurrence rate of IC is low.

关 键 词：缺血性结肠炎 内镜表现 转归 

分 类 号：R574.62[医药卫生—消化系统]