缺血性结肠炎44例临床分析

目的探讨缺血性结肠炎的临床特点、内镜特征和诊治要点。方法回顾性分析2003年1月～2007年6月44例缺血性结肠炎的临床资料．结果缺血性结肠炎好发于老年人，多伴有相关基础疾病，主要临床表现是急性下腹痛和便血。内镜检查提示病变主要发生在左半结肠，呈节段性分布，结肠黏膜高度水肿、充血、糜烂、坏死及溃疡。大多数病例呈一过性表现，如能早期诊断与治疗，预后良好。结论急性腹痛和便血且伴有心、脑血管疾病及糖尿病的老年患者应考虑有缺血性结肠炎可能，病变转归与发病年龄、病变程度及病程长短、伴随的基础疾病及有无并发症可能相关。内镜检查在明确诊断、早期治疗和判断预后上具有重要意义。

Clinical study of 44 cases ischemic colitis

Objective To investigate clinical manifestation,endoscopic findings and crucial points in diagnosis of ischemic colitis. Methods Retrospective analysis was used for 44 cases of ischemie colitis from June 2003 to January 2007. Results lschemic colitis was most common in old people, especially those with history of related underlying conditions, hnportant manifestations were lower abdominal pain and hemafecia. Endoscopic findings showed main lesions were found in left colon with appearance of severe mucosal edema, congestion, erosion,necrosis and ulceration. In.most cases, clinical features were transient and patients had better prognosis as early diajnosis and treatment were given. Conclusion Ischemic colitis should be considered for elderly patients complaining acute abdominal pain and hemafecia with previous cardiovascular disease, cerebrovascular disease and diabetes. The results of treatment are related to age, severity of lesions, coures, previous disease and complications. Endoscopies is very important to obtain the accurate diagnosis early treatment and prognosis of assessment.