杭州溃疡性结肠炎直肠炎【杭州城东医院】

小小少年五指山

　　杭州溃疡性结肠炎直肠炎【杭州城东医院】缺血性结肠炎的表现：结肠缺血通常表现为突发性的腹部疼痛，多为绞痛或中等程度疼痛，疼痛部位随疾病累及部位可有不同，以左下腹部疼痛较多见。多伴有排便急迫感，24小时内出现鲜红或酱色血便。

　　出血量通常尚不需为病人急诊输血。结肠缺血最初的临床表现形式通常是相同的，因此不能根据本病的初始表现预测病程演变和发展。肠系膜上动脉柱子和非闭塞性肠系膜缺血所致的结肠缺血如累及小肠和降结肠时，临床表现形式可有不同。少数结肠缺血病人以出血、休克为临床主要表现形式，此类病人死亡率高达50%以亡。

　　体格检查受累肠段可有轻度至中度腹部触痛，以结肠脾曲、降结肠、乙状结肠最易受累。某些原因影响特殊的肠段，体循环低流量状态主要影响右侧结肠，局部非闭塞性缺血性损伤常影响血流供应的分水岭区域，结肠脾曲和直乙状结肠交界部位。

　　缺血性结肠炎的表现：受累肠道的长度取决于病因，动脉粥样硬化祥栓子累及范围小，非闭塞性损伤累及范围较大。血管造影的异常所见很少与临床表现形式相符。血管造影如有小血管的狭窄，结肠动脉的扭曲和宜肠上动脉肌纤维变性可能提示与结肠缺血有关。

　　【杭州溃疡性结肠炎直肠炎】杭州城东医院就诊指南
　　〖地址〗：浙江省杭州市江干区明石路1号(杭州市急救中心向北200米)
　　〖咨询热线〗：0571-56970120 〖QQ在线咨询〗：4001571120
　　〖乘车路线〗：周边公交站点：黎明村、迎宾桥、笕桥；公交路线69、k111、101、355、305、94路

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