摘要
目的评价缺血性结肠炎(IC)患者的临床特征及内镜表现。方法对32例IC患者的临床症状、体征、实验室及内镜检查资料进行回顾性分析。结果缺血性结肠炎好发于中老年人,主要临床表现为急性腹痛、便血。有相关基础疾病的患者占84%,16%无明确诱因。内镜检查提示病变主要发生于左半结肠,呈节段性分布,表现为结肠粘膜充血、糜烂、溃疡及狭窄。内镜分型多数为一过型(91%),狭窄型占9%,无坏疽型。结论 IC患者多数有基础疾病。中老年人出现急性腹痛和便血应警惕IC的可能,及早内镜检查是明确诊断、了解病变范围及程度、判断预后的主要手段。
Objective To evaluate the clinical manifestation and endoscopic features of ischemic colitis（IC）.Methods To retrospectively analyze the clinical manifestation、body sighs、laboratory tests and endoscopic data in 32 IC patients.Results Of these cases,most cases were the elderly.The most prominent clinical symptoms were acute abdominal pain and hematochezia.84%patients were in underlying health conditions,16%without other related fundamental diseases.The most common locations were on the left colon.Main endoscopic features were mucosal congestion,erosion,ulceration and stenosis.Endoscopic Classification：91%patients presented transient mucosal lesions,9%cases presented stenosis,and necrosis were not found.Conclusion Most IC patients present fundamental diseases.Ischemic colitis should be suspected in elderly patients with accidental acute abdominal pain and hematochezia.Early colonoscopy plays an important role in diagnosis,lesions＇evalulation and prognosis.
出处
《当代医学》
2010年第15期62-63,共2页
Contemporary Medicine
