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目的 浅谈缺血性结肠炎 (IC)的诊治体会。方法 对 2 9例IC患者的临床表现、内镜检查、病理结果、X线钡灌肠检查资料及临床治疗进行回顾分析。结果 IC好发于中老年人 ,主要临床表现为突发左下腹痛及便血。内镜检查可见结肠黏膜充血、坏死糜烂及黏膜下出血 ,病变多位于左半结肠。钡灌肠检查阳性率低。中西结合及手术治疗均获良好效果。结论 中老年人突发左下腹痛及便血时应警惕IC ,肠镜检查是确诊、了解病变程度及预后的主要方法。中西结合治疗效果良好。慢性型患者必要时应手术治疗。
Objective To discuss the diagnosis and treatment of ischemic colitis (IC). Methods The clinical manifestations, endoscopy, pathological findings, X - ray barium enema examination data and clinical treatment of 29 IC patients were retrospectively analyzed. Results IC occurs in the elderly, the main clinical manifestations of sudden left lower abdominal pain and blood in the stool. Endoscopic examination showed colonic mucosal hyperemia, necrotic erosion and submucosal bleeding, lesions in the left colon. Barium enema examination positive rate is low. Chinese and Western combination and surgical treatment were good results. Conclusion Middle-aged and elderly patients with left lower abdominal pain and blood in the stool should be vigilant IC, colonoscopy is diagnosed to understand the degree of disease and prognosis of the main methods. Chinese and Western treatment with good results. Chronic patients should be surgically treated if necessary.