Puolakkainen P, Haapiainen R, Mecklin J P, Järvinen H, Schröder T
Second Department of Surgery, University Central Hospital, Helsinki, Finland.
Ann Chir Gynaecol. 1991;80(3):245-9.
Ischaemic colitis is a relatively rare but well-defined disease entity. It is associated with high mortality rate if early diagnosis and adequate surgical treatment is not accomplished. The aim of the present study was a clinical analysis of 7 patients with the verified ischaemic colitis. The delay from admission to the correct diagnosis was 8 days on the average (range 2-15 days). The reasons for delayed diagnosis included suspicion of diverticulitis, Crohn's disease and bowel obstruction as well as poor general condition in one case because of which early colonoscopy was not done. It is concluded that in patients with abdominal pain, rectal bleeding and diarrhoea associated with typical clinical findings, ischaemic colitis should be suspected. This suspicion should be followed by early colonoscopy to detect the gangrenous form of the disease as early as possible. Instant laparotomy and excision of the affected bowel is necessary for cure in these patients.
缺血性结肠炎是一种相对罕见但定义明确的疾病实体。如果不能早期诊断并进行充分的手术治疗，其死亡率较高。本研究的目的是对7例确诊为缺血性结肠炎的患者进行临床分析。从入院到正确诊断的平均延迟时间为8天（范围为2 - 15天）。诊断延迟的原因包括怀疑憩室炎、克罗恩病和肠梗阻，以及1例因全身状况较差未早期进行结肠镜检查。结论是对于伴有典型临床表现的腹痛、直肠出血和腹泻患者，应怀疑缺血性结肠炎。这种怀疑应随后尽早进行结肠镜检查，以尽早发现疾病的坏疽形式。对于这些患者，立即剖腹手术并切除受累肠段是治愈的必要手段。
