摘要
对25例缺血性结肠炎的内镜表现、分型及临床特征进行研究。结果示本病50岁以上老年多见(80%),大多有基础疾病,冠心病7例(28%),伴陈旧性心肌梗塞3例。糖尿病3例(11.6%)。原发性高血压病4例(16%),并脑梗塞3例。自身免疫性疾病5例(20%)、便秘2例(8%)、结肠手术后2例(8%),无病史2例(8%)。大肠镜分型:一过型20例,狭窄型4例,坏死型1例。粘膜充血水肿、糜烂、出血、溃疡及狭窄。本病应早期行大肠镜及病理组织学检查并诊断。一过型、狭窄型内科保守治疗,坏死型应尽早手术治疗。
The clinical and endoscopic features of isehemic colitis were analyzed.Of the 25 cases, 20(80%)were over 50 years old associated with cardio-cerebrovascular disorders(20%),abdominal surgery(8%),and constipation(8%).The clinical features being abdominal pain,diarrhea,hema- tochezia,peritonitis and shock.Colonoscopy showed mucosal edema,red spot markings,longitudinal ulcers,erosions and stenoses.The lesions were of transient type in 20 cases,of stricture type in 4 and gangrenous in 1.Colonoscopy with biopsy should be performed early for diagnosis.Gangrenous colitis is the only indication for surgery.
出处
《中华消化内镜杂志》
1998年第5期261-263,I000,共4页
Chinese Journal of Digestive Endoscopy
关键词
缺血性结肠炎
结肠炎
大肠镜
IC
Ischemic colitis
Cardio-cerebrovascular diseases
Colonoscopy
