42例缺血性肠病临床探讨

目的探讨缺血性肠病的临床诊断及治疗,进一步提高对该病的认识。方法收集42例缺血性肠病的临床资料进行回顾性分析。结果42例患者中,男30例,女12例;10例有高血压病史,16例有冠心病史。CT确诊8例,B超确诊6例,DSA确诊15例。该病临床缺乏特异性,误诊率高。结论缺血性肠病临床症状与体征无特异性,误诊率高,病死率高,对于具有血栓形成或栓子脱落等基础疾病的高龄患者应高度考虑本病。

Clinical Analysis of 42 Patients with Ischemic Bowel Disease

Objective To analyze clinical features and sum up experience of ischemic bowel disease. Methods Clinical data of 42 patients with ischemic bowel disease were retrospectively analyzed. Results Thirty patients were male and twelve were female. Ten patients were accompanied with hypertension and sixteen had a history of coronary disease. Eight patients were proved by CT.Six patients were diagnosed by B-ultrasonography and fifteen by DSA. Conclusion The clinical manifestation of ischemic bowel disease is less specific. The rates of misdiagnosis and mortality are high. Elder patients, especially with a history of cerebrovascular disease should be considered for the possibility of ischemic bowel disease.