王辉 1董小林 1秦榕 1尧颖 1贾红萍 1高建鹏1
作者信息
- 1. 650051 云南省昆明市，昆明医科大学附属延安医院消化内科
- 折叠
摘要
Abstract
Objective To investigate the clinical features , endoscopic characteristics and outcome of patients with ischemic colitis ( IC) .Methods Collected the clinical data of 81 patients with ischemic colitis who were admitted into the Department of Gastroenterology of the Affiliated Yanan Hospital of Kunming Medical University from January 2008 to June 2014.Retrospective analyses were conducted on clinical manifestation , underlying diseases , laboratory examination , colonoscopy, abdomen CT scan and outcome.Results Ischemic colitis mostly occurred in elderly patients , most of whom were complicated with hyperlipemia , hypertension , diabetes and atherosclerosis.The clinical predominant symptoms were abdominal pain, aggravation after meals , diarrhea and hematochezia.There were 80 non -gangrene patients and only one gangrene patient.For non -gangrene patients , major manifestations under colonoscopy included mucosal hyperemia , edema, erosion, longitudinal ulceration , and serious non -gangrene patients had bowel wall thickening , the disappearing of haustrum and bowel stenosis; for gangrene patients , major manifestations under colonoscopy included expansive blue in mucosa and pseudo polyps , and the lesions mostly occurred in left hemicolon and took on segmental distribution.Most patients had favorable outcomes.The outcome was associated with lesion position , lesion degree , having complications or not and underlying diseases , etc.Conclusion The clinical features and endoscopic characteristics of IC patients have no obvious specificity .When abdominal pain and bloody stools occur in elderly patients with diseases such as hyperlipemia , diabetes, hypertension and atherosclerosis , ischemic colitis should be cautioned.Colonoscopy at an early stage is important for definite diagnosis and estimating prognosis.Second colonoscopy examination has great significance on the diagnosis of IC .关键词
结肠炎, 缺血性/体征和症状/结肠镜检查/预后Key words
Colitis, ischemic/Signs and symptoms/Colonoscopy/Prognosis分类
医药卫生
