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目的探讨缺血性肠病的临床特点。方法回顾性分析襄阳市中心医院1998—2012年收治的30例缺血性肠病患者的临床特点。结果 30例中,内科保守治疗27例,手术治疗3例,全部治愈无死亡。从临床特点分析,夜间发病者占40%(12例),进食高脂肪食物者20%(6例),口服避孕药者10%(3例),有心脑血管病史者60%(18例),过度劳累者占13.3%(2例),所有患者均有腹痛及血便症状,实验室检查无特异性阳性结果,影像学检查仍为诊断缺血性肠病的主要手段,53.3%(16例)患者结肠镜下表现较为典型。结论具有典型腹痛,血便症状,特别是合并心脑血管病史,夜间发病及进食高脂肪食物者要高度怀疑缺血性肠病的诊断。
Objective To investigate the clinical features of ischemic bowel disease. Methods The clinical features of 30 patients with ischemic enteropathy admitted in Xiangyang Central Hospital from 1998 to 2012 were retrospectively analyzed. Results Among the 30 cases, 27 cases were treated conservatively and 3 cases were surgically treated. All patients were cured without death. From the clinical features analysis, the incidence of night accounted for 40% (12 cases), 20% (6 cases) of high fat diet, oral contraceptives 10% (3 cases), cardiovascular and cerebrovascular history of 60% (18 cases ), And overworked 13.3% (2 cases). All patients had abdominal pain and bloody stool. No specific positive results were found in laboratory tests. Imaging examination was still the main method for diagnosing ischemic bowel disease, with 53.3% (16 Cases) The performance of patients under colonoscopy is more typical. Conclusion The typical abdominal pain, bloody stool symptoms, especially with history of cardiovascular and cerebrovascular disease, nighttime onset and high fat food intake should be highly suspected diagnosis of ischemic bowel disease.