缺血性肠炎的临床分析

Clinical analysis of ischemic enteritis

目的 了解缺血性肠炎的发病因素、发病部位及诊断治疗方法 ,尽可能地降低对该病的误诊、漏诊率。方法 通过对 36例临床诊断缺血性肠炎的患者 ,进行回顾性诊断治疗过程分析 ,找出误诊、漏诊原因。结果36例缺血性肠炎患者 ,门诊初步诊断为该病的只有 9例 ,仅占全部病例的 2 5 %。结论 缺血性肠炎多发生于中老年人 ,尤其对患有高血压、动脉硬化、心脑血管病、糖尿病、慢性肝病等疾病的病人 ,一旦出现突发性腹痛 ,血便或黏液血便 ,应及时提高对该诊断的警惕性 ,以降低误诊、漏诊率。

Objective To study the pathogenic factors,sites of onset,diagnostic and the rapeutic methods of ischmic enteritis so as to lower the rates of misdiagnoisis and missed diagnosis to the minimum.Methods The causes of misdiagnosis and missed diagnosis were found out by retrospectively analyzing the procedures of diagnosis and treatment of 36 cases of clinically diagnosed ischemic enteritis. Results Among the 36 cases of ischmic enteritis ,only 9 cases were primarily diagnosed as the disease by the outpatient service,takingonly 25per cent.Conclusion Ischemic enteritis is mainly seen in middleaged and elderly people. Once abrupt abdominal pain, bloody stool or mucous bloody stool appears,especially in patients with hypertension, arteriosclerosis, cardio-cerebrovascular diseases, diabetes or chronic liver disease, vigilance against the diagnosis should be hightened timely so as to lower the rates of misdiagnosis and missed diagnosis.