42例缺血性肠病临床探讨
缺血性肠病；肠系膜血管闭塞；手术,,缺血性肠病；肠系膜血管闭塞；手术,临床资料,2讨论,参考文献
【摘 要】 目的 探讨缺血性肠病的临床诊断及治疗，进一步提高对该病的认识。方法 收集42例缺血性肠病的临床资料进行回顾性分析。结果 42例患者中，男30例，女12例；10例有高血压病史，16例有冠心病史。CT确诊8例，B超确诊6例，DSA确诊15例。该病临床缺乏特异性，误诊率高。结论 缺血性肠病临床症状与体征无特异性，误诊率高，病死率高，对于具有血栓形成或栓子脱落等基础疾病的高龄患者应高度考虑本病。【关键词】 缺血性肠病；肠系膜血管闭塞；手术
Clinical Analysis of 42 Patients with Ischemic Bowel Disease LI Peiliang,TONG Linlong,LI Hongpu.Department of General Surgery, the Fifth People's Hospital of Zhengzhou, Zhengzhou 450003,China
【Abstract】 Objective To analyze clinical features and sum up experience of ischemic bowel disease. Methods Clinical data of 42 patients with ischemic bowel disease were retrospectively analyzed. Results Thirty patients were male and twelve were female. Ten patients were accompanied with hypertension and sixteen had a history of coronary disease. Eight patients were proved by CT.Six patients were diagnosed by Bultrasonography and fifteen by DSA. Conclusion The clinical manifestation of ischemic bowel disease is less specific. The rates of misdiagnosis and mortality are high. Elder patients, especially with a history of cerebrovascular disease should be considered for the possibility of ischemic bowel disease. ......
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