Analysis Of The Clinical Characteristics, Diagnoses And Treatment Of Ischemic Bowel Disease

Objective: To analyze the clinical characteristics, diagnoses andtreatment of ischemic bowel disease.Methods: From October2010to October2013digestive Medicine MedicalUniversity of Fujian first affiliated hospital. The66cases with ischemicbowel disease were included in this study to analyze of its clinicalmanifestations, laboratory tests, Imaging tests, colonoscopy andtreatment after.Result:1.66patients with ischemic bowel disease are accounted for36cases of ischemic colitis (54.5percents), followed by acute ischemicbowel disease. The proportion of men and women is approximately1:1.Thepatients of over60years old are accounted for74.2percents. There are59patients merging the basis of diseases,68.2percents hypertension,arteriosclerosis47.0percents, also including Type2diabetes, coronaryartery disease, hyperlipidemia, atrial fibrillation, cerebral infarctionand other diseases.2.Clinical signs include abdominal pain（93.9percents）, hemafecia（43.9percents），abdomial distension, constipation,diarrhea, weight loss and other。Left abdominal pain (29percents) is themost common.90.6percents of abdominal signs are shown in light abdominaltenderness.3.56.7percents of fecal occult blood are positive.50.0percents of D-dimer increase. Some white blood cell count elevate,hemoglobin value decreased, prothrombin time extended.4.31patientscomplete the spiral CT angiography (CTA), and the positive rate is61.3percents, with superior mesenteric artery lesions is usual seen.There are few cases with abdominal CT scan, magnetic resonance scan andenhancement, total abdominal ultrasound or abdominal radiographs, and the positive rate is relatively low, about between16.7percents and45.8percents.5.81.8percents of patients undergo colonoscopy in this group,and the positive rate is53.7percents (29cases), involving the sigmoidcolon(82.8percents) and descending colon (51.7percents). There are23cases of biopsy, including17cases formed the mucosa of chronicinflammation or inflammatory granulation tissue, only a few are shown andthe change of ischemic colitis mucosa pigmentation.6.66cases aretreated with general treatment, and jointly improve circulation in55cases,43cases of intestinal vascular dilatation, anticoagulant therapyin33cases, anti infection treatment in15cases.64cases are effective,2cases ineffective to surgical operation treatment.Conclusion: Ischemic bowel disease is more common in the older, especiallythose with hypertension and atherosclerosis, and if the pain is associatedwith fecal occult blood,positive D-dimer, the disease should be suspected.Medical treatment has good effect.