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作者报告45例缺血性结肠炎,根据1966年Marston分类:短暂型(Transient type)31例,狭窄型8例,坏死型6例,而以短暂型占多数(68.9%)。性别无差异,年龄平均为58岁,与本病发生有关的合并症如高血压、心脏病、脑血栓形成、糖尿病等22例(48.9%)。病变部位:乙状结肠及降结肠最多(各44.4%),横结肠病变多在脾曲,与血管吻合有关。临床表现:主要症状有腹痛(95.6%)、腹泻(53.3%)、便血(84.4%)。检查:(1) 钡剂灌肠:呈指印形、假性肿瘤、局限性肠痉挛、囊状和管形狭窄。(2) 内窥镜检查:纵行浅表溃疡及糜烂。(3) 其它:白细胞
The authors reported 45 cases of ischemic colitis. According to the 1966 Marston classification, 31 were transient type, 8 were stenotic and 6 were necrotic, with a transient majority (68.9%). No gender differences, average age of 58 years old, with the occurrence of this disease complications such as hypertension, heart disease, cerebral thrombosis, diabetes, 22 cases (48.9%). Lesions: sigmoid colon and descending colon up to (44.4% each), transverse colon lesions in the spleen, and vascular anastomosis. Clinical manifestations: The main symptoms are abdominal pain (95.6%), diarrhea (53.3%), blood in the stool (84.4%). Check: (1) barium enema: was fingerprinted, pseudotumor, localized intestinal spasm, cystic and tubular stenosis. (2) endoscopy: longitudinal superficial ulcers and erosion. (3) Other: white blood cells