摘要
Abstract
Objective To analyze the clinical and endoscopic features of ischemic colitis (IC),in order to provide a reference for the diagnosis and treatment of the disease.Methods We retrospectively analyzed the demographic data, clinical manifestations,results of laboratory examination and colonoscopy characteristics of the IC patients with who received initial treatment in Beijing Shijitan Hospital,CMU from 2009 to 2016.Results Totaled 74 cases of IC were enrolled.Among them,54.1%(40/74) were females,60.8%(45/74) aged ≥ 65,the mean age was (68.3±11.3) years.Their main clinical manifestations were hematochezia 〔89.2%(66/74)〕,hypogastralgia〔83.8%(62/74)〕,nausea〔25.7% (19/74)〕,constipation〔24.3%(18/74)〕 and abdominal distension 〔24.3%(18/74)〕.The common accompanying basic diseases found in them were hypertension 〔60.8%(45/74)〕,peripheral artery atherosclerosis 〔41.9%(31/74)〕, hyperlipidemia 〔35.1%(26/74)〕,history of abdominal surgery〔32.4%(24/74)〕 and coronary heart disease 〔29.7% (22/74)〕.The colonoscopy identified hyperemia,edema,hemorrhage,erosion and ulcer in the colon.Fifty-two patients had left colonic involvement,and 4 of them were accompanied by malignant colonic neoplasm.The levels of fasting blood glucose, C-reactive protein and D-dimer were increased in some patients.Twenty patients were found with different degrees of abdominal artery stenosis by vascular ultrasound /CT angiography.Conclusion IC occurs mostly in the female and the elderly.The left colon is one of the most involved areas.Some patients with IC have malignant colonic neoplasm.It is important to bear in mind that colonoscopy can reduce the possibilities of misdiagnosis and missed diagnosis and the reversible factors that can lead to IC.关键词
结肠炎,缺血性/体征和症状/结肠镜检查/诊断/治疗Key words
Colitis,ischemic/Signs and symptoms/Colonoscopy/Diagnosis/Therapy分类
医药卫生
