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作者等就近20年来在中国协和医院所见溃疡性结肠炎23例作临床分析并对本病作概括性探讨。溃疡性结肠炎在我国较少见。本组23例中有3例为外国籍患者。全组中具典型临床象及 X 线征并经手术或尸检证实者19例;临床及 X 线检查不能确诊而经手术证实者5例;具典型临床象及 X 线征者9例,其中多数追查3月至10年。患者多在20—40岁间,平均发病年龄为36.5岁。关于本病的病因,作者等认为可能为多方面的。杆菌痢疾在某些情况下与溃疡性结肠炎可能有关。23例中有急性痢疾病史者11例,2例于住院期间大便培养发现福氏痢疾杆菌,经治疗后大便培养阴性但结肠病变仍持续活动。
The author for the past 20 years in the Chinese Union Hospital, ulcerative colitis seen in 23 cases for clinical analysis and a general discussion of the disease. Ulcerative colitis is rare in our country. Three of the 23 patients in this group were foreign nationals. The whole group with a typical clinical symptoms and X-ray sign and confirmed by surgery or autopsy in 19 cases; clinical and X-ray examination can not be confirmed by surgery confirmed in 5 cases; with typical clinical symptoms and X-ray sign in 9 cases, most of them Tracing March to 10 years. More patients in the 20-40 years old, the average age of onset was 36.5 years old. About the cause of the disease, the author thinks that may be many. Bacillary dysentery may be related to ulcerative colitis in some cases. Twenty-three of the 23 patients had a history of acute dysentery, and 2 of them were found to have Shigella flexneri in stool during hospitalization. After treatment, stool culture was negative but colonic lesions continued to be active.