摘要
目的：分析缺血性结肠炎（IC）的临床和内镜特点，为临床诊治提供参考，减少误诊、漏诊。方法回顾性分析62例确诊为 IC 的住院患者临床资料，分析患者临床表现、合并症、实验室检查、影像学检查、结肠镜检查、病理学检查、诊治经过及随访等资料。结果62例患者中男17例，女性45例，平均年龄（66．1±10．7）岁，＞60岁47例（75．81％），其中38例（61．29％）存在一种或多种基础疾病；所有患者均为急性起病，腹痛57例（91．94％），血便56例（90．32％）；结肠镜检查显示，60例为一过型，2例为狭窄型，未见坏疽型，病变部位以左半结肠为主；所有患者均给予禁食、抗感染、改善微循环及静脉营养支持，无一例出现严重并发症或转外科手术治疗，4～8周后复查结肠镜，62例愈合或好转，2例在3年观察期内再次发作入院，复发率为3．23％。结论缺血性结肠炎以老年人多见，加强对该病的认识及警惕，以结肠镜为主要诊断方式进行早期诊断和及时治疗具有积极的意义。
Objective To investigate the clinical and endoscopic features of ischemic colitis （IC）,to provide a reference for clinical diagnosis and treatment.Methods A retrospective analysis of 62 inpatients who were diag-nosed as IC was performed.The patients＆#39;clinical data,clinical manifestations,complications,laboratory tests,imaging tests,colonoscopy,pathology,diagnosis,treatment,follow -up and other information were analyzed.Results Of 62 patients,there were 1 7 males and 45 females,mean age was （66.1 ±1 0.7）years old,more than 60 years of age there were 47 cases （75.81 %）,of which 38 cases （61 .29%）showed the presence of one or more underlying disea-ses.All patients had acute onset,57 cases （91 .94%）had abdominal pain,bloody stools occurred in 56 cases （90.32%）.Colonoscopy revealed 60 cases as a transient type,2 cases of stenosis,no gangrene type,lesions were mainly left colon.All patients were given fasting,anti -infection,microcirculation improvement and intravenous nutri-tional support,with no serious complications or transfer surgery occurred,colonoscopy was reviewed 4 -8weeks, 62 cases were healing or had improvement,2 patients in the 3 -year observation period was readmitted attack,the recurrence rate was 3.23%.Conclusion Ischemic colitis is more common in older people,to strengthen the aware-ness and vigilance of the disease,early diagnosis based on colonoscopy as a primary diagnostic modality and prompt treatment has positive significance.
出处
《中国基层医药》
CAS
2015年第24期3742-3744,共3页
Chinese Journal of Primary Medicine and Pharmacy
