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[目的]分析缺血性结肠炎(IC)的临床特征,以提高临床诊疗水平。[方法]收集17例IC患者的病例资料,对其年龄、基础疾病、临床表现、实验室检查、镜下表现及治疗等方面进行回顾性分析。[结果]IC多发生于有心脑血管疾病史的中老年女性,以腹痛、便血为主要表现,病变多位于结肠脾曲、降结肠、乙状结肠。[结论]对于有心脑血管等基础疾病的中老年患者出现不明原因的腹痛、便血时需警惕IC可能,应及时行结肠镜检查,及早进行治疗。
[Objective] To analyze the clinical features of ischemic colitis (IC) in order to improve the clinical diagnosis and treatment. [Methods] The data of 17 cases of IC patients were collected, and their age, underlying diseases, clinical manifestations, laboratory tests, microscopic findings and treatment were retrospectively analyzed. [Results] IC occurred in the history of cardiovascular disease in middle-aged and elderly women, with abdominal pain, blood in the stool as the main performance, lesions are located in the colon spleen song, descending colon, sigmoid colon. [Conclusion] In the middle-aged and elderly patients with underlying diseases such as cardiovascular and cerebrovascular diseases, unexplained abdominal pain and blood in the stool should be alert to possible IC. Colonoscopy should be performed in time and treated as soon as possible.