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目的分析缺血性结肠炎的临床特点、内镜诊断。方法回顾性分析1993～2006年本院收治的45例缺血性结肠炎的临床资料。结果本组患者年龄41～79岁,中位年龄63.6岁,50岁以上占91%。多伴有相关基础疾病,主要为高血压、高血脂症、冠心痛、糖尿病等。主要临床表现是急性腹痛、便血、腹泻、腹胀等。内镜检查病变大多发生在左半结肠(86.7%),呈节段分布,表现为结肠粘膜充血、水肿、糜烂和溃病。大部分为一过型(84.4%)。早期治疗预后良好。大肠镜检查为早期诊断重要方法。结论对老年患者,出现急性腹痛和便血,同时伴有心脑血管疾病、糖尿病等患者,应考虑缺血性结肠炎的可能。内镜检查在明确诊断,早期治疗和判断预后上有重要意义。
Objective To analyze the clinical features of ischemic colitis and endoscopic diagnosis. Methods The clinical data of 45 patients with ischemic colitis admitted to our hospital from 1993 to 2006 were retrospectively analyzed. Results The patients were 41 to 79 years old, with a median age of 63.6 years and 91 years old over 50 years old. More associated with underlying diseases, mainly high blood pressure, hyperlipidemia, coronary heart disease, diabetes and so on. The main clinical manifestations of acute abdominal pain, blood in the stool, diarrhea, abdominal distension and so on. Endoscopic lesions mostly in the left half of the colon (86.7%), was segmental distribution, manifested as colonic mucosal congestion, edema, erosion and collapse disease. Mostly one-off (84.4%). Early treatment prognosis is good. Colonoscopy is an important method of early diagnosis. Conclusion In elderly patients, acute abdominal pain and blood in the stool appear, accompanied by cardiovascular and cerebrovascular diseases, diabetes and other patients, the possibility of ischemic colitis should be considered. Endoscopy in a clear diagnosis, early treatment and prognosis of great significance.