查詢結果分析
相關文獻
- Ischemic Colitis --The Clinical Course and Result of Treatment
- Ischemic Colitis Following Colonoscopy in an Elder Patient with Cardiovascular Disease
- 缺血性大腸炎--醫師的挑戰
- Ischemic Colitis--A Twelve Year Review at Taichung Veteran General Hospital
- Ischemic Colitis Proximal to Sigmoid Colon Cancer with Obstruction
- Chronic Ischemic Colitis:A Case Report and Literatures Review
- Mortality from Ischemic Colitis
- Chronic Phlebosclerotic Ischemic Colitis
- 缺血性大腸炎與市售成藥--感冒糖漿的關係
- Ischemic Colitis: Experience in Kaohsiung Chang Gung Memorial Hospital
頁籤選單縮合
題 名 | Ischemic Colitis --The Clinical Course and Result of Treatment=缺血性大腸炎--臨床病程及治療結果 |
---|---|
作 者 | 范書銘; 林楨國; 林資琛; 陳維熊; 姜正愷; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 8:3 1997.09[民86.09] |
頁 次 | 頁91-96 |
分類號 | 416.245 |
關鍵詞 | 缺血性; 大腸炎; 大腸鏡; Ischemia; Colitis; Colonoscopy; |
語 文 | 英文(English) |
英文摘要 | 缺血性大腸炎常好發於老年人,然因其病徵不易與其他大腸疾病區分且病情進展 分歧,而常被忽略。即將面臨高齡化社會的臺灣,對此一疾病自然不能忽視。 我們統計臺北榮總 1979 年至 1995 年 28 位缺血性大腸炎的病例, 認為大腸鏡 / 軟式乙 狀結腸鏡應是最佳之診斷工具,而鋇劑攝影、血管攝影、X 光攝影、血液生化等檢查都幫助 不大。 臨床症狀最常見的是腹痛( 68% )、腹瀉( 38% )和血便( 43% )。缺血性大腸 炎以左側大腸為主,尤以乙狀結腸最多( 67% ),常好發於心臟血管疾病( 46% )或糖尿 病( 14% )的病人。 依 Maston 分類,46% 為壞死性,54% 為非壞死性。 有 8 位病人,以支持性療性即治癒, 而其他 20 位則均須手術治療。建議治療宜依臨床病程為根據,雖然有可能自然痊癒,但臨 床病程密切觀察及手術時機的選擇,則是成功治療的關鍵。 ation of the lesion. It is frequently associated with cardiovascular disease (46%) and diabetes mellitus (14%). As Marston's classification. We classified our series as gangrenous type (46%) and non-gangrenous type (54%) . All gangrenous colitis and nonreversible non-gangrenous cases received surgical treatment (total 20 patients). The other eight reversible non-gangrenous cases were managed successful by supportive treatment. Seven of the twenty operative cases were mortal, six of them were in sepsis condition befor operation, the other one was died of short bowel syndrome. Therapy is guided by clinical course. Althouth the course of ischemic colitis may be self-limited, the development of clinical picture and the timing of suitable surgical intervention are important for successful treatment. |
本系統中英文摘要資訊取自各篇刊載內容。