缺血性肠病40例诊治体会

[目的]探讨缺血性肠病的临床特点和治疗方法。[方法]对2006年1月～2010年6月收治的40例缺血性肠病患者的临床诊治情况进行分析,其中保守治疗16例,介入治疗16例,手术治疗者8例。[结果]40例患者经治疗治愈37例(92.50%),显效3例(7.50%),总有效率100.00%。腹痛缓解时间最短1d,最长10d,平均(3.2±1.5)d;大便恢复正常时间最短1d,最长13d,平均(4.4±1.3)d;住院时间最短7d,最长25d,平均(12.6±3.5)d。[结论]缺血性肠病的临床表现多不典型,确诊困难较大,借助超声、CT、血管造影等辅助检查有助于早期诊断,明确诊断后根据病情的需要分别给予保守治疗、介入治疗、手术治疗等治疗方案,可获得较好的临床疗效。

40 CASES OF ISCHEMIC BOWEL DISEASE DIAGNOSIS AND TREATMENT

[Objective]To investigate the clinical features of ischemic bowel disease and its treatment method.[Methods]From January 2006 to June 2010,40 cases with ischemic bowel disease were treated,and its clinical data were analyzed.Among the 40 patients,16 patients were treated with conservative method,16 patients were treated with interventional method,and 8 were treated with surgical method.[Results]Among 40 patients,37 cases were cured(92.50%),3 cases were effective(7.50%),and the total efficiency was 100.00%.The shortest abdominal pain was 1 day,the maximum was 10 days,and the average was 3.2±1.5 days;The stool shortest recovery time was 1 day,maximum was 13 days,and the average was 4.4±1.3 days;The the shortest length of stay was 7 days,the longest was 25 days,and the average was 12.6±3.5 days.[Conclusion]The clinical manifestations of ischemic bowel disease are atypical,diagnosis is quite difficult,with ultrasound,CT,angiography and other laboratory examinations early diagnosis,a clear need for the condition of patients after diagnosis should be given to chose conservative treatment,intervention,surgery therapy or other treatment options,and obtain better clinical efficacy.