论文部分内容阅读
目的:探讨老年缺血性结肠炎临床病理特点和诊治方法。方法:回顾性分析28例老年缺血性结肠炎患者临床资料。结果:本组患者合并高血压22例,冠心病12例,糖尿病10例;18例因腹痛、便血就诊,6例仅出现单纯血便而无腹痛症状;3例病理学检查显示巨噬细胞有含铁血黄素沉着;治疗2~4周后患者症状均缓解,肠镜检查显示12例肠黏膜完全恢复正常,7例病变部位仅见轻度黏膜充血水肿,3例可见溃疡瘢痕;6例因症状好转出院,未复查肠镜。结论:缺血性结肠炎多发生于患有基础性疾病患者中,部分患者以便血为主要表现,腹痛不明显或无腹痛症状,肠镜和病理学检查为其诊断金标准,内科治疗效果好。
Objective: To investigate the clinicopathological characteristics and diagnosis and treatment of senile ischemic colitis. Methods: The clinical data of 28 elderly patients with ischemic colitis were retrospectively analyzed. Results: There were 22 cases of hypertension, 12 cases of coronary heart disease and 10 cases of diabetes mellitus, 18 cases of abdominal pain and blood in the stool, 6 cases of simple bloody stool without abdominal pain symptoms and 3 cases of pathological examination of macrophages Symptoms were relieved in 2 to 4 weeks after treatment. Colonoscopy showed that 12 cases of intestinal mucosa returned to normal completely, 7 cases showed mild mucosal congestion and edema only in 3 cases and ulcer scar in 3 cases. Discharged, no review colonoscopy. Conclusion: Most of ischemic colitis occurs in patients with underlying diseases. Some patients mainly use blood as the main manifestation. Obvious abdominal pain or no symptoms of abdominal pain. Enteroscopy and pathological examination are the gold standard of diagnosis, and medical treatment is effective .