中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2014年
5期
28-29
,共2页
缺血性结肠炎%临床表现%内镜特点
缺血性結腸炎%臨床錶現%內鏡特點
결혈성결장염%림상표현%내경특점
Ischemic colitis%Clinical manifestations%Endoscopic characteristics
目的 分析缺血性结肠炎(IC)的临床表现及内镜特点,提高其诊治水平.方法 收集2000年1月至2013年5月许昌市中心医院收治的104例IC住院患者的资料,从年龄、基础疾病、临床表现及内镜下特点等方面进行回顾性分析.结果 缺血性结肠炎多发生于合并心脑血管疾病的老年女性患者,主要临床表现为腹痛及便血,结肠镜下可见黏膜充血、糜烂及溃疡形成,病理检查显示非特异性改变,治疗后病情明显好转.结论 对有心血管疾病的老年患者,突发腹痛及便血时应警惕缺血性结肠炎可能,早期行结肠镜检查,并予以积极有效的治疗.
目的 分析缺血性結腸炎(IC)的臨床錶現及內鏡特點,提高其診治水平.方法 收集2000年1月至2013年5月許昌市中心醫院收治的104例IC住院患者的資料,從年齡、基礎疾病、臨床錶現及內鏡下特點等方麵進行迴顧性分析.結果 缺血性結腸炎多髮生于閤併心腦血管疾病的老年女性患者,主要臨床錶現為腹痛及便血,結腸鏡下可見黏膜充血、糜爛及潰瘍形成,病理檢查顯示非特異性改變,治療後病情明顯好轉.結論 對有心血管疾病的老年患者,突髮腹痛及便血時應警惕缺血性結腸炎可能,早期行結腸鏡檢查,併予以積極有效的治療.
목적 분석결혈성결장염(IC)적림상표현급내경특점,제고기진치수평.방법 수집2000년1월지2013년5월허창시중심의원수치적104례IC주원환자적자료,종년령、기출질병、림상표현급내경하특점등방면진행회고성분석.결과 결혈성결장염다발생우합병심뇌혈관질병적노년녀성환자,주요림상표현위복통급편혈,결장경하가견점막충혈、미란급궤양형성,병리검사현시비특이성개변,치료후병정명현호전.결론 대유심혈관질병적노년환자,돌발복통급편혈시응경척결혈성결장염가능,조기행결장경검사,병여이적겁유효적치료.
Objective To analyze the clinical manifestations and endoscopic characteristics of ischemic colitis(IC),in order to improve the diagnosis and treatment levels.Methods From January 2000 to May 2013,the data of 104 cases of IC were collected and retrospectively analyzed,including age,underlying diseases,clinical manifestations and endoscopic characteristics.Results IC often occurred in the elderly female patients with cardiovascular and cerebrovascular diseases,the main clinical manifestations were abdominal pain and bloody stool.Mucous membrane hyperemia,erosion and ulcer formation were visible under colonoscopy.Pathological examination showed non-specific changes.The disease was improved significantly after treatment.Conclusions Elderly patients with cardiovascular disease should be vigilant for IC when they have abdominal pain and bloody stool,they should be examined early under colonoscopy and be treated effectively.
