摘要
为探讨肠壁血管硬化缺血性肠病的临床病理特点,回顾分析2008~2010年我院收治的以肠壁血管硬化病变为主的2例缺血性肠病患者临床资料及手术切除标本的病理资料。结果显示,此2例慢性缺血性肠病患者年龄均较大(76岁、68岁),均以急性腹痛起病,其病理改变均以肠壁中小血管硬化、狭窄伴血管炎性病变为基础的继发性改变为主。结果表明,缺血性肠病多起病急骤,病情变化较快,早期诊断较困难。对临床中老年人出现急性腹痛及血便时应考虑其病史及基础疾病,高度警惕缺血性肠病的可能。
In order to investigate the clinical pathological features of ischemic bowel disease induced by in- testinal wall angiosclerosis,authors retrospectively analysed the clinical data and pathological finding from operatively resected specimen of 2 patients with this disease admitted from 2008 to 2010 yr. in author's hos- pital. As results, the 2 patients were all senile (age 76,68), suffered from onset of acute abdominal pain their pathological changes were all secondary ones predominant by angiosclerosis, stenosis associated with vascular inflammatory lesion of intestinal wall middle-mini vessels. Results show that ischemic bowel dis-ease mainly presents as acute onset, faster change of condition, difficulty to early diagnose, thus for middlesenile patients when acute abdomen pain and bloody feces appear it should be considered the disease history and primary basic disease,and be high vigilance the possibility of ischemic bowel disease.
出处
《中国肛肠病杂志》
2012年第2期31-33,共3页
Chinese Journal of Coloproctology
关键词
缺血性肠病
肠壁血管硬化
临床特点
病理分析
Ischemic bowel disease
Intestinal wall angiosclerosis
Clinical features
Pathological analysis