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目的明确缺血性结肠炎患者的临床表现及结肠镜特点。方法回顾性分析20例缺血性结肠炎患者(平均年龄>60岁)的临床表现等。结果所有患者都表现为起病急,症状主要为以突发下腹或者左下腹部绞痛,呈持续性,伴恶心,呕吐,腹胀,暗红、鲜红色血性大便,便血量在50~800 ml,20例均为下腹部或左下腹部压痛,均为非坏疽性缺血性结肠炎,其中一过性18例,另2例慢性型间断、少量血便持续4~7 d后转为慢性腹泻。5例患者伴低度发热。患者经本科规范治疗后一过性腹痛症状在数天内消失。结论具有基础疾病老年人出现突发性左下腹痛、血便均应及早行结肠镜检查,明确诊断以免误诊。
Objective To clarify the clinical manifestations and characteristics of colonoscopy in patients with ischemic colitis. Methods The clinical manifestations of 20 patients with ischemic colitis (mean age> 60 years) were retrospectively analyzed. Results All patients showed acute onset. The main symptoms were sudden lower abdomen or lower left abdominal cramps with persistent nausea, vomiting, abdominal distension, dark red, bright red bloody stool, blood volume of 50 ~ 800 ml , 20 cases were lower abdominal or lower left abdominal tenderness, are non-gangrenous ischemic colitis, including transient in 18 cases, and the other 2 cases of chronic type intermittent, a small amount of bloody stool continued for 4 ~ 7 d into chronic diarrhea. 5 patients with low fever. Symptoms of transient abdominal pain disappeared within a few days after the patient was undergone by the norm. Conclusion The elderly with underlying diseases appear sudden left lower abdominal pain, bloody stool should be as early colonoscopy, a clear diagnosis to avoid misdiagnosis.