缺血性结肠炎临床特点与诊治分析  

Clinical Characteristics and Diagnosis and Treatment of Ischemic Colitis

作　　者：孙敏[1] 屈霄[1] 陆萍[1] 邹建[1] 

机构地区：[1]张家港市第一人民医院消化内科,江苏张家港215600

出　　处：《中国继续医学教育》2017年第13期135-136,共2页China Continuing Medical Education

摘　　要：目的分析缺血性结肠炎(IC)的临床特点和诊治效果。方法对41例IC开展早期结肠镜检查和病理检查。结果中老年人为IC好发群体,多合并基础性疾病,临床上表现为一过性型多见,使用抗生素以及输液治疗,缓解率为100.00%。内镜下主要表现为黏膜充血、水肿、糜烂、出血和浅溃疡形成。病理结果 :大部分病例显示为水肿,浆细胞、中性粒细胞以及淋巴细胞浸润。结论对于合并基础性疾病或者高危中老年病患,如果出现突发性左下腹疼痛合并便血,应当警惕为IC,使用抗生素及输液治疗后,尽早实施结肠镜以及病理检查,明确诊断后,可使用改善微循环的药物。Objective To analyze the clinical characteristics, diagnosis and treatment of ischemic colitis （IC）. Methods Early colonoscopy and pathological examination were performed in 41 cases of IC. Results The middle-aged and elderly were !C good hair groups, mostly with basic diseases. The clinical manifestations were transient type, and the remission rate was 100.00% using antibiotics and infusion therapy. Ttie main manifestations of endoscopic are mucosal congestion, edema, erosion, bleeding and shallow ulcer formation. Pathological findings： most cases showed edema, infiltration of plasma cells, neutrophils and lymphocytes. Conclusion For elderly patients with basic diseases or high risk, if there is a sudden pain in the left lower abdomen with hematochezia, should be alert for IC, use of antibiotics and infusion treatment, colonoseopy and pathological examination as soon as possible, after the diagnosis, can improve microcirculation of the drug.

关 键 词：缺血性结肠炎 临床特点 诊治效果 

分 类 号：R574.62[医药卫生—消化系统]