31例缺血性结肠炎临床分析

Ischemic colitis:clinical analysis of 31 cases

目的:探讨缺血性结肠炎的临床特点、内镜特征及早期诊断方法。方法:对31例缺血性结肠炎患者的临床表现、结肠镜检查等资料进行回顾性分析。结果:缺血性结肠炎好发于老年患者,多伴有高血压、冠心病等基础疾病。腹痛及便血为主要临床表现。结肠镜下以黏膜充血、水肿、糜烂、溃疡等为主要表现,病变主要发生于左半结肠,呈节段性分布。多数患者预后良好。结论:老年患者出现急性腹痛和便血应警惕缺血性结肠炎,早期结肠镜检查是诊断缺血性结肠炎的主要方法。

Objective：To analyze the clinical features,endoscopic characteristics and methods for early diagnosis of ischemic colitis.Methods：A retrospective analysis was undertaken on clinical features and colonoseopic findings of 31 patients suffered from ischemic, colitis.Results： Ischemic colitis usually occurred in elderly who complicated often with some basic diseases such as hypertension,coronary heart dissease.The clinical predomi- nant presentations were abdominal pain and bloody stool.The colonoseopy showed the leisons were located mainly in left colon with segmental form and the＇ pathological changes include mucosal edema,congestion,erosion and ulceration.The prognosis was good in most cases.Conclusion：Ischemic colitis should be suspected in elderly patients with acute abdominal pain and bloody stool.Colonoscopy is the main method for the diagnosis of isehemie colitis,it should be performed in the early stage of the onset of symptoms.