论文部分内容阅读
目的通过对抗生素所致伪膜性肠炎(pseudrmembranous colitis,PMC)的内镜下诊断分析,总结其内镜下特征,提高诊治水平。方法对我院近3年来内科诊治的17例PMC进行回顾性分析。结果PMC多发于合并有长期慢性疾病、年龄大、体质差及抗生素应用不规范的老年患者,17例病人中,14例系老年重症患者。全部患者均在使用广谱抗生素过程出现腹泻、腹痛、血便等症状。均接受结肠镜检查,提示为PMC。结论结肠镜检查是诊断PMC快速而可靠的方法。重视对内科老年人及重症病患者,对长期大量使用抗生素的老年患者出现腹痛、腹泻时,结合结肠镜的特征表现首先应考虑有无PMC,及早停用抗生素,使用足量和足疗程的甲硝唑和万古霉素和相应的微生态制剂是治疗PMC有效方法。
Objective To summarize the characteristics of endoscopic diagnosis of pseudomembranous colitis (PMC) caused by antibiotics, and to improve the diagnosis and treatment of pseudomembranous colitis (PMC). Methods Retrospective analysis of 17 cases of PMC treated in our hospital in recent 3 years. Results PMC occurred frequently in older patients with long-term chronic diseases, older age, poor health and non-standard antibiotics. Of the 17 patients, 14 were elderly and critically ill patients. All patients were in the process of using broad-spectrum antibiotics, diarrhea, abdominal pain, bloody stool and other symptoms. All underwent colonoscopy, suggesting PMC. Conclusion Colonoscopy is a fast and reliable method to diagnose PMC. Emphasis on the medical elderly and critically ill patients, elderly patients with long-term heavy use of antibiotics, abdominal pain, diarrhea, combined with the characteristics of colonoscopy should first consider the presence of PMC, early antibiotics, the use of adequate and full course of A Nitronazole and vancomycin and the corresponding probiotics are effective methods of treating PMC.