本文报告了10例阿米巴性结肠炎被误诊为炎性肠病的临床资料,并对其中3个典型病例作了概述。第1例是23岁妇女,带血腹泻、下腹疼痛及里急后重已有3月,7次粪检虫卵和阿米巴均阴性。直肠镜检见直肠粘膜水肿、易碎和出血,无明显的溃疡。直肠活检所见与急性结肠炎一致。钡剂灌肠X线摄影显示为溃疡性结肠炎。开始用水杨酸偶氮磺胺嘧啶(Azulfidine)治疗,随后又用促肾皮素及泼尼松治疗,腹泻未见好转。未久,病 This article reports 10 cases of amoebic colitis was misdiagnosed as inflammatory bowel disease clinical data, and three typical cases were summarized. The first case was a 23-year-old woman with bloody diarrhea, abdominal pain and tenesmus, which had been observed in March and seven fecal insects and amoeba were negative. Rectal examination showed rectal mucosal edema, fragile and bleeding, no obvious ulcer. Rectal biopsy is consistent with acute colitis. Barium enema radiography showed ulcerative colitis. Start treatment with azulfidine and then with neprilon and prednisone, diarrhea did not improve. Not long, sick