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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。方法整理55例缺血性肠病的临床资料进行回顾性分析。结果 55例患者中选择性动脉照影确诊16例,内镜检查确诊11例,MRI检查确诊10例,彩色多普勒超声确诊10例,CT确诊8例。该病临床表现差异性很大,且无特异性,早期诊断很难。结论缺血性肠病误诊率高,病死率高,对于具有易患因素的患者须提高警惕,动态观察病情变化十分必要。
Objective To investigate the clinical diagnosis and treatment of ischemic bowel disease to further improve the understanding of the disease. Methods 55 cases of ischemic bowel disease clinical data for retrospective analysis. Results Among the 55 patients, 16 were confirmed by selective arterial photography, 11 were diagnosed by endoscopy, 10 were diagnosed by MRI, 10 were diagnosed by color Doppler ultrasound and 8 were diagnosed by CT. The clinical manifestations of the disease is very different, and no specificity, early diagnosis is difficult. Conclusions The high rate of misdiagnosis and high case fatality rate of ischemic enteropathy should be vigilant for patients with predisposing factors and it is necessary to observe the changes of the disease dynamically.