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克罗恩病74例临床特点分析 被引量:8

Analysis of clinical features of Crohn's disease from 74 cases
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摘要 目的 探讨克罗恩病的临床特点。方法 回顾性分析74例克罗恩病住院患者的一般资料、临床表现、实验室检查、X线和内镜检查、并发症及手术情况。结果 克罗恩病好发于男性,多见于青壮年,慢性起病。临床表现以腹痛、腹泻及腹块为主,肠梗阻为主要并发症,手术率较高,术后易复发。结论 克罗恩病的诊断主要依靠X线及内镜检查,手术为获得病理诊断的主要方式,但应严格掌握手术适应证。 Objective To investigate the clinical features of Crohn' s disease. Methods The clinical features of 74 in patients with Crohn's disease were analyzed respectively, including general information, clinical manifestations, laboratory tests, X-ray and endoscopic examination, complications, and the operation rate. Results Crohn s disease was common in young adults and male predominant with a chronic course. Its main clinical manifestations were abdominal pain, diarrhea and abdominal mass. The most common complication was intestinal obstruction. This group patient underwent a higher operation rate and showed a tendency of recurrence postoperatively. Conclusion The diagnosis of Crohn's disease is depended upon, to a great extent, the X-ray and endoscopic examination. Operation is the main approach to achieve the pathological diagnosis,but the indications of operation should be followed strictly.
作者 孙钢 罗莹
出处 《疑难病杂志》 CAS 2002年第4期200-202,共3页 Chinese Journal of Difficult and Complicated Cases
关键词 克罗恩病 诊断 手术治疗 Crohn' s disease Diagnosis Operation therapy
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参考文献2

  • 1[3]Stephens M,Batres LA,Ng D.Growth failure in the child with inflammatory bowel disease.Semin Gastrointest Dis,2001,12:253-262.
  • 2[4]Gasche C,Moser G,Turetschek K,et al.Transabdominal bowel sonography for the detection of intestinal complications in Crohn's disease.Gut,1999,44:112-117.

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