共查询到20条相似文献,搜索用时 109 毫秒
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患者男,45岁,藏族,僧人,因间断腹痛、腹泻10余年,于2010年12月13日收住院.患者反复无明显诱因全腹阵发性隐痛及胀痛,排黄色稀水样便,每日2~3次,偶有黏液便,无脓血便,排便后腹痛可缓解,无发热、寒战,无里急后重感,无关节疼痛,病程中无体质量减轻,饮食及睡眠良好. 相似文献
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1病历摘要
患者,女,26岁。因间断腹痛、腹泻、脓血便2年,加重10余天入院。患者2年前劳累后出现腹泻,每日排便5~6次,黏液脓血便;伴腹痛,位于左下腹,呈阵发性疼痛,有疼痛-便意-便后缓解的规律。无发热、心悸、关节疼痛。当时在日本某医院行结肠镜检查,诊断为溃疡性结肠炎, 相似文献
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《中华消化病与影像杂志(电子版)》2016,(3)
<正>一、临床资料患者男,24岁,汉族,因"间断腹痛伴黏液脓血便9年余"入院。缘于2005年10月无明显诱因出现腹痛、大便干结,偶有脓血便,1次/d,不伴里急后重,无肛门下坠感,未行特殊治疗。2006年间断出现腹痛、腹泻、脓血便,大便3~4次/d,于我院行肠镜检查示"直肠炎",后至长清人民医院服用艾迪莎(美沙拉秦)等药物治疗,病情好转出院。出院后患者自行停药,症状反复发作,间断口服上述药物,效 相似文献
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《中国实用内科杂志》2015,(3)
<正>1病历资料患者男,41岁。因"黏液脓血便15年,间断腹胀、腹痛2年"于2014年3月入院。患者于1999年开始出现黏液脓血便,4~10次/d,伴脐周腹痛,便后减轻。当地医院结肠镜示"溃疡性结肠炎(ulcerative colitis,UC),全结肠型"。予柳氮磺胺吡啶2片每日2次、泼尼松10 mg每日1次治疗,症状缓解。病情 相似文献
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Anne F van Rijn Paul Fockens Peter D Siersema Bas Oldenburg 《World journal of gastroenterology : WJG》2009,15(2):226-230
AIM: To study adherence to the widely accepted surveillance guidelines for patients with long-standing colitis in the Netherlands. METHODS: A questionnaire was sent to all 244 gastroenterologists in the Netherlands. RESULTS: The response rate was 63%. Of all gastroenterologists, 95% performed endoscopic surveillance in ulcerative colitis (UC) patients and 65% in patients with Crohn's colitis. The American Gastroenterological Association (AGA) guidelines were followed by 27%, while 27% and 46% followed their local hospital protocol or no specific protocol, respectively. The surveillance was correctly initiated in cases of pancolitis by 53%, and in cases of left-sided colitis by 44% of the gastroenterologists. Although guidelines recommend 4 biopsies every 10 cm, less than 30 biopsies per colonoscopy were taken by 73% of the responders. Only 31%, 68% and 58% of the gastroenterologists referred patients for colectomy when low-grade dysplasia, high-grade dysplasia (HGD) or Dysplasia Associated Lesion or Mass (DALM) was present, respectively. CONCLUSION: Most Dutch gastroenterologists perform endoscopic surveillance without following international recommended guidelines. This practice potentially leads to a decreased sensitivity for dysplasia, rendering screening for colorectal cancer in this population highly ineffective. 相似文献
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克罗恩病(CD)是一种原因不明的胃肠道慢性炎性肉芽肿性疾病,整个胃肠道的任何部位均可发生,好发于末端回肠和右半结肠。以腹痛、腹泻、肠梗阻为主要症状,且有发热、营养障碍等肠外表现。病程多迁延,常有反复,不易根治。以下消化道大出血为首发症状的CD罕见。我科收治1例,现报道如下,并对相关文献进行复习和总结,探讨该病的诊断和治疗。 相似文献
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病例:患者,男性,43岁,因"腹痛、腹泻2月余"收治入院。患者入院前2个月起无明显诱因出现下腹隐痛,为阵发性,伴腹泻,最多达7~8次/d,为夹杂黏液的稀便,无恶心、呕吐,无发热。入院2 d后发现尿液内含有食物残渣和粪渣样物。否认结核病、疟疾史。查体:体温37℃,脉搏70次/min,呼吸18次/min,血压120/70 mm Hg(1 mm Hg=0.133 kPa);腹部平坦,全腹无压痛、肌紧张和反跳痛,未及腹部包块,移动性浊音阴性,肠鸣 相似文献
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非酒精性脂肪性肝病诊疗指南 总被引:4,自引:0,他引:4
The Chinese National Workshop on Fatty Liver Alcoholic Liver Disease for the Chinese Liver Disease Association 《胃肠病学》2010,15(11):676-680
<正> (2010年1月修订) 非酒精性脂肪性肝病(non-alcoholic fatty liverdisease,NAFLD)是一种与胰岛素抵抗(IR)和遗传易感性密切相关的代谢应激性肝损伤,病理学改变与酒精性肝病(ALD)相似,但患者无过量饮酒史,疾病谱包括非酒精性单纯性脂肪肝(non-alcoholicsimple fatty liver,NAFL)、非酒精性脂肪性肝炎(non-alcoholic steatohepatitis,NASH)及其相关肝硬化和肝细胞性肝癌。NAFLD是21世纪全球重要的公共健康问题之一,亦是我国愈来愈严重的慢性 相似文献
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心血管疾病戒烟干预中国专家共识组 《中国心血管病研究杂志》2012,10(3):161-167
吸烟是心血管疾病的独立危险因素,并且也是患者唯一能够自我控制的致病因素。许多心血管医生已经认识到吸烟的危害和戒烟干预的重要性,但尚缺乏相应的戒烟知识和戒烟技巧。本共识通过全面总结吸烟的危害和戒烟的益处, 相似文献
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Hugh James Freeman 《World journal of gastroenterology : WJG》2009,15(11):1315-1318
Crohn's disease is a chronic inflammatory granulomatous process that usually involves different sites in the intestinal tract. Genetic and environmental factors are thought to play a role in its etiology and pathogenesis. The disorder has a heterogeneous clinical expression and data from tertiary care settings have documented its female predominance, occasional familial nature, and high rate of stricture formation and penetrating disease. It may appear from early childhood to late adulthood, although over 80% are currently diagnosed before age 40 years, usually with terminal ileal and colonic involvement. Several studies have now shown differences in phenotypic clinical expression depending on the initial age at diagnosis, with pediatric-onset disease being more severe and more extensive with more involvement of the upper gastrointestinal tract compared to adult-onset disease. In addition, longterm studies from these tertiary care settings have documented that the disorder may evolve with time into a more complex disease with stricture formation and penetrating disease complications (i.e. fistula and abscess). Although prolonged remission with no evidence of inflammatory disease may occur, discrete periods of symptomatic and active granulomatous inflammatory disease may re-appear over many decades. Long-term studies on the natural history have also suggested that discrete events (or agents) may precipitate this granulomatous inflammatory process. 相似文献
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房颤的发生源于心脏电生理改变和心房结构重塑的共同作用。心房纤维化是一个有害的过程,会引起细胞外基质沉积与降解失衡及成纤维细胞的过度增值等。早期研究显示,心室纤维化会引起心室壁进行性硬化,进而引起心室功能不全和充血性心力衰竭。但随后的研究突出显示了心房纤维化与房颤的关系,与瓣膜病、高血压和老龄化的关系。 相似文献