Abstract：Objective To summarize and analyze the clinical features of ischemic colitis (IC)to improve the understanding of the disease and the level of clinical diagnosis and treatment.Methods Retrospective analysis of the data including age,basic diseases,clinical symptoms,auxiliary examination,characteristics of colonoscopy,treatmentmethods,and prognosis in 60 patientswith IC admitted to our hospital from January 2016to August 2019 was conducted in a descriptiveway.Results IC occurred in 50 years old or older(83.33%).Forty-one patients(68.33%)had one ormore underlying diseases,with hypertension being the largest,accounting for 43.33%,followed by hyperlipidemia (26.67%)and diabetes(20.00%).Abdominal pain and bloody stoolwere themain clinicalmanifestations of IC.Elevated D-dimer was present in 76.67%of patients,and imaging tests such as ultrasound,CT enhanced scan,or CT angiography(CTA)were not sensitive.The scope of the lesion under enteroscope wasmainly affected in left colon.In terms of treatment,one patient was transferred to surgery due to complication of colon cancer,and the remaining patients were cured by conservativemedical treatments and discharged.Conclusion ICmostly occurs inmiddle-aged and elderly patients(≥50 years old)with underlying diseases.Laboratory and imaging tests are of limited value.If doubting the IC diagnosis,colonoscopy and timely intervention should be carried out as soon as possible.Most patients have a good prognosis.
程宪永; 王凯; 李彦敏; 史宁; 王健. 60例缺血性结肠炎患者的临床特征分析[J]. 中国当代医药, 2020, 27(17): 58-61.
CHENG Xian-yong; WANG Kai; LI Yan-min; SHI Ning; WANG Jian. Analysis of clinical characteristics of 60 patients with ischemic colitis. 中国当代医药, 2020, 27(17): 58-61.
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