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克罗恩病74例临床特点分析
引用本文:孙钢,罗莹.克罗恩病74例临床特点分析[J].疑难病杂志,2002,1(4):200-202.
作者姓名:孙钢  罗莹
作者单位:1. 100730,北京,中国医学科学院,中国协和医科大学协和医院消化科
2. 100020,武警北京总队医院消化科
摘    要:目的 探讨克罗恩病的临床特点。方法 回顾性分析74例克罗恩病住院患者的一般资料、临床表现、实验室检查、X线和内镜检查、并发症及手术情况。结果 克罗恩病好发于男性,多见于青壮年,慢性起病。临床表现以腹痛、腹泻及腹块为主,肠梗阻为主要并发症,手术率较高,术后易复发。结论 克罗恩病的诊断主要依靠X线及内镜检查,手术为获得病理诊断的主要方式,但应严格掌握手术适应证。

关 键 词:克罗恩病  诊断  手术治疗
文章编号:1671-6450(2002)04-0200-03
修稿时间:2002年10月18

Analysis of clinical features of Crohn's disease from 74 cases
SUN Gang,LUO Ying.Analysis of clinical features of Crohn''''s disease from 74 cases[J].Journal of Difficult and Complicated Cases,2002,1(4):200-202.
Authors:SUN Gang  LUO Ying
Institution:SUN Gang,LUO Ying. Department of Gastroenter-ology,Peking Union Medical College Hospital,Beijing 100730,China
Abstract:Objective To investigate the clinical features of Crohn' s disease. Methods The clinical features of 74 in patients with Crohn's disease were analyzed respectively, including general information, clinical manifestations, laboratory tests, X-ray and endoscopic examination, complications, and the operation rate. Results Crohn s disease was common in young adults and male predominant with a chronic course. Its main clinical manifestations were abdominal pain, diarrhea and abdominal mass. The most common complication was intestinal obstruction. This group patient underwent a higher operation rate and showed a tendency of recurrence postoperatively. Conclusion The diagnosis of Crohn's disease is depended upon, to a great extent, the X-ray and endoscopic examination. Operation is the main approach to achieve the pathological diagnosis,but the indications of operation should be followed strictly.
Keywords:Crohn' s disease  Diagnosis  Operation therapy
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