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虽然在教科书上并无“慢性结肠炎”的专门章节,但临床上却十分惯用这个诊断名称。该类病人的临床表现大致有以下几个特点:(1)慢性腹泻,粪便带粘液,甚致有脓、血;(2)反复粪便检查未发现有痢疾杆菌及阿米巴原虫等;(3)钡剂灌肠X线检查提示结肠粘膜像粗乱,常报告为慢性结肠炎;(4)纤维结肠镜观察仅见粘膜充血、水肿,并无溃疡;(5)结肠粘膜活检,提示为慢性非特异性炎症。这类病例在慢性腹泻中占重要比例。如我院198例住院病人中有30例,占15.2%;中山医学院第二附属医院86例中有41例,占47.7%;湖南医学院第二附属医院223例中有57例,占25.5%。而在大量
Although there is no specific section on chronic textitis in textbooks, this diagnostic name is used clinically. The clinical manifestations of these patients generally have the following characteristics: (1) chronic diarrhea, stool with mucus, even with pus and blood; (2) repeated stool examination found no Shigella and amoeba; (3) ) Barium enema X-ray examination showed that the colon mucosa like a rough disorder, often reported as chronic colitis; (4) fiber colonoscopy observed mucosal congestion, edema, no ulcer; (5) colon mucosal biopsy, suggesting chronic non-specific Inflammation. These cases account for a significant proportion of chronic diarrhea. For example, there are 30 inpatients with 198 cases in our hospital, accounting for 15.2%; 41 of 86 cases in the second affiliated hospital of Zhongshan Medical College, accounting for 47.7%; 57 cases in the second affiliated hospital of Hunan Medical College, accounting for 25.5% %. In large numbers