缺血性肠病的诊断和治疗进展

The Diagnosis and Treatment of Ischemic Bowel Disease

随着心血管疾病发病率增加和人口的老龄化,而且各种无创性或有创性检测技术的发展,缺血性肠病的发病率有增高趋势。因缺血性肠病常无特有的临床表现,故误诊、漏诊、病死率高。对凡具有易患因素的患者,如高血压病、冠心病、动脉硬化症、心力衰竭和心房纤颤等疾病,一旦出现腹痛持续2h以上,尤其是症状与体征不相称,即应考虑本病,争取早期诊断和早期治疗。

With the increase in the incidence of cardiovascular disease and aging of population acconrpanyed by the development of various invasive or non-invasive detection technique, the incidence ischemic bowel disease has an increasing trend. But ischemic bowel disease has no specific clinical manifestations, which will lead to misdiagnosis, missed diagnosis and high mortality rate. As for all patients with risk factors such as hypertension, coronary heart disease, arteriosclerosis, heart failure and atrial fibrillation, once their abdominal pain lasts for over two hours, which especially is not corresponding to their symptoms and si~,we should consider this disease and try our best to make early diagnosis and early treatment.