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目的总结缺血性结肠炎的临床治疗和预后情况。方法对20例缺血性结肠炎患者的临床表现、内镜检查、病理检查、血常规检查资料及临床治疗进行回顾分析。结果内镜检查可见结肠黏膜充血、坏死糜烂及黏膜下出血,病理检查黏膜下层坏死、出血和肉芽组织,病变多位于左半结肠。16例痊愈,3例好转,1例转外科手术。结论中老年人突发左下腹痛及便血时应警惕缺血性结肠炎,肠镜检查是了解病变程度及预后的主要方法。中西结合治疗效果良好,肠坏死患者必要时应手术治疗。
Objective To summarize the clinical treatment and prognosis of ischemic colitis. Methods The clinical manifestations, endoscopic examination, pathological examination, blood test data and clinical treatment of 20 patients with ischemic colitis were retrospectively analyzed. Results Endoscopic examination showed colonic mucosal hyperemia, necrotic erosion and submucosal hemorrhage, pathological examination of submucosal necrosis, hemorrhage and granulation tissue, lesions located in the left colon. 16 cases recovered, 3 cases improved, 1 case transferred to surgery. Conclusion Middle-aged and elderly patients with left lower abdominal pain and blood in the stool should be alert to ischemic colitis, colonoscopy is to understand the degree of disease and prognosis of the main methods. The combination of Chinese and Western treatment is effective, patients with intestinal necrosis should be treated surgically.