克罗恩病急诊的临床分析(附23例报告)

CLINICAL ANALYSIS OF CHROHN'S DISEASE——23 CASES REPORT

目的 :分析探讨克罗恩病 (CD)急诊的临床特点、诊断和治疗 ;方法 :调查了1 988年— 2 0 0 2年 3 0例CD患者 ,其中 2 3例 ( 76.6% )发生急诊 ,对本病临床情况、诊断和治疗方法及疗效进行了回顾 ;结果 :本组CD急诊误诊率为 1 0例 ( 43 % ) ,手术治疗 1 7例 ,内科治疗 6例 ,2 2例患者症状改善 ,病情缓解 ,一例死于并发的恶性肿瘤 ;结论 :CD临床特点是急诊发生率高 ,误诊与其临床表现多样、缺乏对CD认识有关 ;诊断需用结肠镜、X线、腹部B超、DSA、CT等检查综合评价 ,及时手术和积极内科治疗对本病的预后有重要的意义。

To explore the features of diangosis and therapy in patients with Crohn's disease.Methods:30 cases with Crohn's disease, who were treated in our hospital from 1988-2002, were investigated by review documents. The therapeutic effects and diagnosis way were restrospected.Results:Miss-diagnosis rate of Crohn's dosease was 43% (10 cases), 17 patients were operated by surgen, 6 cases wee treated by physican. A total of 22 cases had improvement of signs. 1 case dead with malignant carcinoma.Conclusion:The prognosis of Crohn's disease is associated with a good diagnosis and treatment, such as endoscopy, X-ray, B ultasound,DSA and CT.