de Ancos Aracil C, Vivancos Velasco R, Estrada Pérez V, Villar del Campo I, Gutiérrez del Olmo A
Hospital Clínico San Carlos, Madrid.
Rev Clin Esp. 1998 Nov;198(11):726-9.
Ischaemic colitis represents the most common form of intestinal ischaemia and involves more commonly elderly patients with a variety of underlying conditions. This study analyses the epidemiology and clinical characteristics of the disease in our environment.
The IC cases occurred at our institution during the last two years were studied. Twenty-eight cases of IC obtained by reviewing colonoscopy and pathological records were analyzed.
The non-occlusive type is the most common presentation form of IC. It affected elderly patients (74 +/- 10 years) with cardiovascular risk factors. Most cases manifested with abdominal pain (68%). In 64% cases, colonoscopy showed ulcerations, located mainly at descending colon and rectosigmoid. The clinical course was generally favourable with conservative measures. The overall mortality rate was 10%.
The possibility of IC should be considered in the differential diagnosis of elderly patient with abdominal pain and cardiovascular risk factors.
缺血性结肠炎是肠道缺血最常见的形式，更常见于患有各种基础疾病的老年患者。本研究分析了我们所在地区该疾病的流行病学和临床特征。
对过去两年在我们机构发生的缺血性结肠炎病例进行研究。通过回顾结肠镜检查和病理记录获得28例缺血性结肠炎病例并进行分析。
非闭塞型是缺血性结肠炎最常见的表现形式。它影响有心血管危险因素的老年患者（74±10岁）。大多数病例表现为腹痛（68%）。64%的病例结肠镜检查显示有溃疡，主要位于降结肠和直肠乙状结肠。采取保守措施后临床过程总体良好。总死亡率为10%。
对于有腹痛和心血管危险因素的老年患者，鉴别诊断时应考虑缺血性结肠炎的可能性。
