摘要
【目的】探讨缺血性肠病的临床特征，进一步提高对该病的认识。【方法】回顾性分析5年来本院内科住院治疗的28例缺血性肠病患者的临床资料。【结果】28例患者中男16例，女12例，均有其他合并性疾病。主要临床表现为腹痛、血便，内镜检查均提示有不同程度的肠黏膜缺血性病变。内科保守治疗25例有效，1例死亡，2例无效转外科手术治疗好转。【结论】缺血性肠病绝大多数患者临床伴有其他基础疾病，由于临床症状和体征无特异性，误诊率和死亡率高。结肠镜检查对早期诊断该病非常敏感，并具有一定的特异性，而早期诊断早期内科保守治疗多数病例可治愈。
[Objective]To explore the clinical features of ischemic bowel disease, and to further strengthen the knowledge of this disease. [Methods] Clinical data of 28 cases with ischemic bowel disease for five years in our hospital were analyzed retrospectively. [Results] Among 28 cases, 16 cases were male and 12 were female. All these patients were accompanied with other diseases. Clinical manifestations were abdominal pain and bloody stool. Endoscopic features showed intestinal mucosa with various degrees of ischemic affection. Symptoms relieved by conservative treatment in 25 patients. One patient died and the other 2 patients were cured by operation. [Conclusion] Most of ischemic bowel disease are accompanied with other baseline diseases. Its clinical symptoms and signs are not specific, so the misdiagnosis and mortality are high. Colonoscopy is a way with good sensitivity and specificity to diagnose ischemic bowel disease. If the diagnosis and medical conservative treatment are done as early as possible, most cases can be cured.
出处
《医学临床研究》
CAS
2010年第8期1421-1422,1425,共3页
Journal of Clinical Research
关键词
肠疾病
局部缺血
intestinal disease
ischemia
