CAJ | 학술논문

目的分析缺血性肠病的临床特点,为急腹症、便血患者的治疗提供临床经验.方法收集2006年1月—2010年1月住院的经结肠镜、全腹CT、腹部彩超、血管造影等检查确诊的符合缺血性肠病临床特点的患者20例.结果5例患者进行手术切除治疗,其他均行内科保守治疗;1例在手术后3 d因肠坏死、感染性休克死亡,1例放弃治疗.结论对于中老年患者尤其伴有基础疾病且诊断不清的急腹症患者,应尽早行腹部螺旋CT、腹部彩超等无创性、患者依从性好的检查,以早期确诊,减少临床漏诊、误诊,降低病死率.
목적분석결혈성장병적림상특점,위급복증、편혈환자적치료제공림상경험.방법수집2006년1월—2010년1월주원적경결장경、전복CT、복부채초、혈관조영등검사학진적부합결혈성장병림상특점적환자20례.결과5례환자진행수술절제치료,기타균행내과보수치료;1례재수술후3 d인장배사、감염성휴극사망,1례방기치료.결론대우중노년환자우기반유기출질병차진단불청적급복증환자,응진조행복부라선CT、복부채초등무창성、환자의종성호적검사,이조기학진,감소림상루진、오진,강저병사솔.
Objective To analyze the clinical characteristics of ischemic bowel disease and provide clinical experience for the treatment of the patients with acute abdominal disease or hematochezia.Method 20 hospitalized patients from January of 2006 to January of 2010 were observed.All of them were inspected with colonoscopy,complete abdomen CT,abdomen color dopplar ultrasound and angiography.The examinations confirmed that they all showed the clinical features of ischemic bowel disease.Results Five patients were underwent resection operation,others were underwent medical conservative treatment;One case died after three-day operation because of intestinal necrosis,one case abandoned treatment.Conclusion The elderly patients,especially complicated with other diseases,should be thought that they might suffer from this disease when they are not diagnosed definitely.In these situations,doctors should take abdominal spiral CT,abdomen color dopplar ultrasound and some noninvasive and credible inspection as early as possible,in order to make an early diagnosis,reduce the omission diagnosis rate and misdiagnostic rate,and further reduce the mortality.