缺血性肠病20例临床分析

目的分析缺血性肠病的临床特点,为急腹症、便血患者的治疗提供临床经验.方法收集2006年1月—2010年1月住院的经结肠镜、全腹CT、腹部彩超、血管造影等检查确诊的符合缺血性肠病临床特点的患者20例.结果5例患者进行手术切除治疗,其他均行内科保守治疗;1例在手术后3 d因肠坏死、感染性休克死亡,1例放弃治疗.结论对于中老...

Clinical Analysis of 20 Patients with Ischemic Bowel Disease

Objective To analyze the clinical characteristics of ischemic bowel disease and provide clinical experience for the treatment of the patients with acute abdominal disease or hematochezia.Method 20 hospitalized patients from January of 2006 to January of 2010 were observed.All of them were inspected with colonoscopy,complete abdomen CT,abdomen color dopplar ultrasound and angiography.The examinations confirmed that they all showed the clinical features of ischemic bowel disease.Results Five patients were underwent resection operation,others were underwent medical conservative treatment;One case died after three-day operation because of intestinal necrosis,one case abandoned treatment.Conclusion The elderly patients,especially complicated with other diseases,should be thought that they might suffer from this disease when they are not diagnosed definitely.In these situations,doctors should take abdominal spiral CT,abdomen color dopplar ultrasound and some noninvasive and credible inspection as early as possible,in order to make an early diagnosis,reduce the omission diagnosis rate and misdiagnostic rate,and further reduce the mortality.