论文部分内容阅读
例1:女,39岁,因腹痛、腹泻粘液脓血便2月,于1993年10月22日入院.大便反复3次培养阴性.10月23日纤维结肠镜见40cm以下粘膜弥漫性充血、水肿,血管网模糊或消失,粘膜面呈颗粒状,脆性增加,触之易出血,少许糜烂面.活检病理报告:粘膜重度慢性炎症并粘膜糜烂.诊断溃疡性结肠炎.入院后经抗菌素、激素等治疗,效果不佳,腹痛不减,腹泻脓血便频数,贫血,衰弱.11月24日复查肠镜见回盲部至直肠整个肠腔粘膜呈息肉样变,大小不等息肉呈葡萄状分布,尤以回盲部及直肠密布,粘膜皱襞消失,粘膜质脆易出血,全结肠无正常粘膜存在.
Example 1: Female, 39 years old, due to abdominal pain, diarrhea, mucus pus and blood in February, admitted to hospital on October 22, 1993. Stool repeated negative culture for three times. On October 23 fiber colonoscopy see mucosal diffuse congestion below 40cm, edema , Vascular network fuzzy or disappear, the mucosal surface was granular, increased brittleness, easy to touch the bleeding, a little erosion surface Biopsy pathology report: severe chronic mucosal inflammation and mucosal erosion. Diagnosis of ulcerative colitis. Admission by antibiotics, hormones Treatment, poor results, abdominal pain diminished, diarrhea, pus and blood frequency, anemia, weakness. November 24 to review the colonoscopy to see the ileocecal to the rectum the entire intestine mucosa was polypoid, ranging from the size of the polypoid grape-like distribution, Especially in the Department of ileocecal and rectum, mucosal folds disappear, easy bleeding mucosal crisp, the whole colon without normal mucosa.