Crohn病16例临床分析

目的 提高Crohn病的诊断、治疗水平。方法 结合文献复习，对16例Corhn病进行回顾性分析。结果 本病临床诊断率37．5％，误诊率43．7％。临床表现以腹痛、腹泻、发热、消瘦以及腹部包块为常见；累及部位以回肠为最多；肠外表现以关节炎最多见；37．5％病例发生消化道出血等并发症。误诊则以肠结核、溃疡性结肠炎最多。X线、内镜和病理检查是本病诊断的关键。治疗则依病变部位、病情、病理而不同。结论 Crohn病临床表现多样化，在对主要症状仔细分析的基础上，寻找关键指标，仍可做出诊断。治疗应根据病人情况高度个体化。

Crohn''''s disease:A clinical analysis of 16 cases

Objective To improve the diagnosis and therapeutic levels of Crohn's disease.Methods Sixteen cases of Crohn's disease were studied retrospectively.Results The clinical diagnostic rate was 37.5% and misdiagnostic rate was 43.7% respectively.Abdominal pain,diarrhea,fever,abdominal mass were the common clinical manifestations.Heum was the commonly involved site.Arthritis was the main abenteric manifestation.Hemorrhage of digestive tract was the main complication of the disease.Radiography,endoscopy,and pathological examinations were the key methods for diagnosis.The treatment should be individualized according to the area involved,severity of the disease and the type of pathological changes.Conclusion Clinical features of Crohn's disease were diverse.A careful analysis of main symptoms and key index was necessary for the correct diagnosis.The therapy must be individualized.