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对25例缺血性结肠炎的内镜表现、分型及临床特征进行研究。结果示本病50岁以上老年多见(80%),大多有基础疾病,冠心病7例(28%),伴陈旧性心肌梗塞3例。糖尿病3例(11.6%)。原发性高血压病4例(16%),并脑梗塞3例。自身免疫性疾病5例(20%)、便秘2例(8%)、结肠手术后2例(8%),无病史2例(8%)。大肠镜分型:一过型20例,狭窄型4例,坏死型1例。粘膜充血水肿、糜烂、出血、溃疡及狭窄。本病应早期行大肠镜及病理组织学检查并诊断。一过型、狭窄型内科保守治疗,坏死型应尽早手术治疗。
Endoscopic findings, classification and clinical features of 25 cases of ischemic colitis were studied. The results showed that the disease more common in elderly over 50 years (80%), most of the underlying diseases, coronary heart disease in 7 cases (28%), with old myocardial infarction in 3 cases. Three cases of diabetes (11.6%). 4 cases of essential hypertension (16%), and 3 cases of cerebral infarction. There were 5 cases (20%) of autoimmune diseases, 2 cases of constipation (8%), 2 cases of colon surgery (8%) and 2 cases of no history of disease (8%). Colonoscopy typing: a type 20 cases, 4 cases of stenosis, necrosis in 1 case. Mucosal congestion and edema, erosion, bleeding, ulcers and stenosis. The disease should be early colonoscopy and pathological examination and diagnosis. One type, conservative treatment of strict internal medicine, necrosis should be treated as soon as possible.