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目的总结缺血性结肠炎的临床及内镜特点。方法分析1998年1月至2004年10月21例缺血性结肠炎患者的临床及内镜特征、病理结果。结果本病多见于50岁以上中老年人(85.7%),男女发病率相当(11:10),绝大多数(85.7%)伴有高血压病、冠心病、糖尿病等基础疾病。临床症状主要为腹痛、腹泻和便血。病变多位于左半结肠(90.5%)。内镜表现主要为黏膜充血、水肿、出血、糜烂及溃疡,一过型最多(95.2%)。病理改变无特异性。大多预后良好。结论综合分析临床表现,尽早做结肠镜检查是确诊该病的主要方法。
Objective To summarize the clinical and endoscopic features of ischemic colitis. Methods The clinical and endoscopic features and pathological findings of 21 patients with ischemic colitis from January 1998 to October 2004 were analyzed. Results The disease was more common in the elderly (50.7%) over the age of 50, the incidence of men and women was quite high (11:10), the vast majority (85.7%) with hypertension, coronary heart disease, diabetes and other underlying diseases. Clinical symptoms mainly abdominal pain, diarrhea and blood in the stool. More lesions in the left colon (90.5%). Endoscopic manifestations of mucosal congestion, edema, bleeding, erosion and ulcer, the largest type (95.2%). No specific pathological changes. Mostly good prognosis. Conclusion Comprehensive analysis of clinical manifestations, colonoscopy as early as possible is the main method of diagnosis of the disease.