炎性肠病包括溃疡性结肠炎与 Crohn 病,二者常不易鉴别,亦易与其它病因引起的慢性腹泻相混淆,临床上有时诊断颇为困难,常造成误诊或漏诊。一、诊断问题(一)临床特征:Crohn 病临床上除腹泻、腹痛、发热等症状外,由于病变肠段纤维化、瘢痕收缩及急性炎症水肿,使肠管缩窄,而致反复发生不完全肠梗阻,为此病突出表现之一。在我国此病并发穿孔和大量消化道出血 Inflammatory bowel disease including ulcerative colitis and Crohn’s disease, the two are often not easy to identify, but also easily confused with chronic diarrhea caused by other causes, the clinical diagnosis is sometimes quite difficult, often resulting in misdiagnosis or missed diagnosis. First, the diagnosis of the problem (a) of the clinical features: Crohn disease clinically in addition to diarrhea, abdominal pain, fever and other symptoms, due to lesion intestinal fibrosis, scar contraction and acute inflammatory edema, the intestine narrowed, resulting in recurrent incomplete bowel Obstruction, one of the outstanding performance for this disease. In our country the disease complicated by perforation and a large number of gastrointestinal bleeding