1 case of ischemic bowel disease clinical analysis.docVIP

 PAGE \* MERGEFORMAT 7 1 case of ischemic bowel disease clinical analysis [Keywords:] Clinical analysis of ischemic bowel disease Ischemic bowel disease refers to the colon and (or small intestine occurs due to insufficient blood supply to ischemic intestinal damage, can be divided into acute mesenteric ischemia, chronic mesenteric ischemia and colonic ischemia [1]. With the increase of population aging society ischemic bowel disease trend of increased incidence. at times because of its atypical clinical presentation, misdiagnosis rate, complications, high mortality rate, is one of clinically significant acute abdomen [2]. In this paper, the Institute of Gastroenterology in March 2009 to 1 treated patients with acute ischemic bowel disease patients were retrospectively analyzed clinical data in order to improve the diagnosis and treatment of this disease. 1 Clinical data Patients, female, 64 years old, mainly due to the lower right abdominal pain and a half months on March 2, 2009 admission. Were in a half ago no incentive to abdominal pain, mainly in the right lower abdomen, was paroxysmal pain, shoulder pain, the Ministry of the Bleeding can bear with acid reflux, heartburn, with nausea, vomiting, accompanied by diarrhea, watery thin yellow, vomiting, diarrhea and more related to diet and increased abdominal pain after eating, there fear of food, Baotou City in the fourth hospital treatment after symptomatic treatment No pain relief, pre-laparotomy, without considering the older line, then transferred to our department. Past history: 10 years after appendectomy, without hypertension, coronary heart disease, diabetes. examination: T 36.6 , P 80 times / min, R 19 times / min, Bp 90/50 mmHg, suffering face, heart and lung examination were normal, abdomen soft, whole abdominal tenderness, rebound tenderness was positive to the right lower abdomen as a no muscle tension, liver and spleen not palpable ribs, Murphy sign sign (+, shifting dullness (-, bow