34例急性缺血性肠病的临床诊治分析

Clinical diagnosis and treatment of 34 patients with acute ischemic enteropathy

目的深入研究34例急性缺血性肠病的临床诊治。方法使用电子内结肠镜诊断疑似急性缺血性肠病,在治疗上对急性缺血性肠病患者采用保守治疗方式治疗。结果电子内结肠镜检测疑似急性缺血性肠病无误诊病例,治疗后34例急性缺血性肠病患者均有不同程度的好转,其中26例患者痊愈康复,5例患者病情明显得到改善,3例转外科进行手术。结论在诊断上使用电子内结肠镜能有效降低误诊率,治疗上对急性缺血性肠病患者采用保守治疗能有效缓解或改善病情,且效果显著,值得临床推广。

Objective To study the clinical diagnosis and treatment of 34 patients with acute ischemic enteropathy. Methods Electronic colonoscopy was used to diagnose suspected acute ischemic enteropathy. All the patients with acute ischemic enteropathy received conservative treatment. Results No patient with acute ischemic enteropathy was misdiagnosed under the electronic colonoscopy. After the treatment, all the 34 patients with acute ischemic enteropathy improved, of whom 26 patients fully recovered, 5 patients improved significantly and 3 patients transferred to surgical operation. Conclusion Electronic colonoscopy can effectively reduce the misdiagnosis rate and conservative treatment can effectively relieve or improve the conditions with significant effect, thereby worthy of clinical promotion.