| 袁凤仪,朱峰,刘德军,等.缺血性肠病的诊治进展[J].中国临床保健杂志,2016,(3):324-328. |
| 缺血性肠病的诊治进展 |
| The progress of diagnosis and treatment of ischemic bowel disease |
| 投稿时间：2016-02-17 |
| DOI：10.3969/J.issn.1672-6790.2016.03.033 |
| 中文关键词: 肠疾病 诊断技术和方法 综述文献(主题) |
| 英文关键词: Intestinal diseases Diagnostic techniques and procedures Review literature as topic 〖FL |
| 基金项目: |
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| 中文摘要: |
| 缺血性肠病可分为急性肠系膜缺血(AMI)、慢性肠系膜缺血(CMI)及缺血性结肠炎(IC)。本病患者多有心血管相关的基础疾病史,有习惯性便秘或近期手术史。主要症状根据分型各有特点,AMI表现为无相应体征的剧烈上腹痛或脐周痛,合并心房颤动的器质性心脏病以及胃肠道排空障碍；CMI特点为频繁饭后腹痛、畏食及体质量下降；IC表现为左侧腹部突发性绞痛,多餐后加重,梗死坏疽后可有急性腹膜炎表现。实验室检查最多见为血白细胞增高及大便潜血实验阳性,D-二聚体升高可能对本病诊断有一定意义。腹部超声、X光、CT、MRI、肠镜、选择性血管造影在本病的诊断方面各有独特的作用。本病的诊断来源于对病因、病史、临床表现、实验室及辅助检查的综合判断。治疗分为内科治疗、介入治疗、外科手术治疗,各有其针对性及适应证。通过及时确定不同类型缺血性肠病的诊断,采取适宜的治疗方法,对改善患者的预后和降低病死率有重大意义。 |
| 英文摘要: |
| Ischemic bowel disease is a series of clinical manifestations,cause of the disease is inadequate blood supply to the intestine leads to intestinal tissue necrosis.The disease can be divided into acute mesenteric ischemia (AMI),chronic mesenteric ischemia (CMI) and ischemic colitis (IC).Most of the patients have multiple cardiovascular history,habitual constipation or recent surgery.Each type has its own characteristics of the disease,AMI showed no corresponding signs of severe upper abdominal pain or umbilical pain,atrial fibrillation structural heart disease and gastrointestinal emptying; CMI is characterized by frequent abdominal pain after meals,sitiophobia and weight loss; IC showed the left abdomen sudden cramps,often postprandial pain increased,may have acute peritonitis after infarction gangrene.Most of this disease have blood leukocyte heighten and fecal occult blood test positive,D- dimer increased diagnosis of the disease may have some significance.Abdominal ultrasound,X-ray,CT,MRI,colonoscopy,Selective angiography can assist in the diagnosis,and each at a diagnosis of the disease have a unique role.Diagnosis of the disease is the cause,history,clinical manifestations,laboratory tests and examinations of the comprehensive judgment.Treatment of the disease is divided into medical treatment,interventional therapy,surgery,and each has its specific indications.Through timely confirm the diagnosis of different types of ischemic bowel disease,take the appropriate treatment,we can improve the prognosis of patients and reduce mortality. |
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