成人急性出血性坏死性肠炎的临床回顾性分析

Clinical experience review of adult acute hemorrhagic necrotizing enteritis

目的探讨急性出血性坏死性肠炎(AHNE)的临床表现及早期诊断和治疗的方法。方法回顾性分析57例AHNE患者的临床资料,其中急性胃肠炎型6例、肠出血型27例、腹膜炎型13例、肠梗阻型9例、中毒性休克型2例。结果 57例患者中早期诊断51例(89%)、误诊6例(11%),治愈49例(86%)、死亡8例(14%),保守治疗49例(86%)、手术治疗8例(14%)。结论 AHNE发病急骤,临床表现复杂多样,并发症多,误诊率及病死率高,早期诊断以及综合规范的治疗可改善预后。

Objective This paper is to discuss the clinical manifestation,early diagnosis,and treatment of adult acute hemorrhagic necrotizing enteritis(AHNE).Methods The clinical data of 57 patients with AHNE were retrospectively analyzed,including 6 cases of acute gastroenteritis,27 cases of intestinal hemorrhage,13 cases of peritonitis,9 cases of intestinal obstruction,and 2 cases of toxic shock.Results In the 57 cases,49 of which were conservatively treatment and 8 of which were surgically treatment,51 cases were early diagnosed(89%),6 cases were mis-diagnosed(11%),49 cases were cured(86%),and 8 cases died(14%).Conclusion AHNE,whose clinical manifestations are complex and varied,attacks rapidly and can cause lots of complications,so the misdiagnosis rate and the death rate are both high.In order to improve the prognosis,early diagnosis and comprehensive treatment are indispensable and beneficial to prognosis.