摘要
目的总结老年缺血性结肠炎的临床及内镜特点,探讨其早期诊断方法。方法收集整理1999年1月至2009年12月经临床、结肠镜等综合确诊为老年缺血性结肠炎患者的相关资料,进行回顾性分析。14例患者均因急腹痛、便血等症状就诊,均于就诊后24～72h内行结肠镜检查,所有病例均取病变黏膜活检,总结其临床特点及内镜下表现。结果经临床、结肠镜等综合确诊为老年缺血性结肠炎者14例,其中,男性8例,女性6例,男女之比为1∶0.75,年龄为60～83岁,平均(74.52±5.32)岁,多伴有相关基础疾病。临床主要表现为腹痛和血便,病变多数位于左半结肠。短暂自限型10例,慢性型4例,无急性暴发型病例。病理学表现无特异性。结论老年患者出现急性腹痛、便血,尤其伴有相关基础疾病时,应高度警惕缺血性结肠炎的可能,及时进行结肠镜检查,是诊断缺血性结肠炎的主要方法。
Objective To sum up the clinical and endoscopy characteristics of elderly patients＇ischemic colitis,and to discuss its early diagnosis method.Methods To collect and reorganize correlative data of elderly ischemic colitis patients who were diagnosed by synthesis clinical and colonoscopy methods in our hospital form January of 1999 to December of 2009,and produce a retrospective analysis.All 14 example patients saw a doctor because of symptoms of colica or Hematochezia,and were taken colonoscopy inspection 24～72 hours after visiting doctor.The pathological change mucous membrane biopsy was taken from all cases to sum up its clinical characteristic and under endoscope.Results There were 14 cases of elderly ischemic colitis diagnosed after synthesis clinical and colonoscopy methods,where there were 8 male examples and 6 female examples,the ratio of the male and female was 1：0.75.The age span was 60~83 years old,and the average age was（74.52±5.32）years old,mostly were accompanied with related fundamental diseases.Major clinical manifestations were abdominal pain and bloody stool,while pathological change mostly located at the left hemicolon.10 examples were ephemeral self-restraint type,4 examples were chronic type,and no acute fulminic type.The pathology performance did not have the specificity.Conclusion Elderly patients with acute abdominal pain or hematochezia especially whom were accompanied with related fundamental diseases,should have a high alert on the possibility of ischemic colitis.A timely colonoscopy inspection is the main method of diagnosing ischemic colitis.
出处
《安徽医学》
2010年第9期1069-1071,共3页
Anhui Medical Journal
关键词
结肠炎
缺血性
结肠镜检查
腹痛
便血
老年患者
Colitis
Ischemic
Colonoscopy inspection
Abdominal pain
Hematochezia
Elderly patient
