Elderly ischemic bowel disease in 36 cases.docVIP

 PAGE \* MERGEFORMAT 14 Elderly ischemic bowel disease in 36 cases [Keywords:] intestinal vascular disease, ischemic bowel disease Ischemic bowel disease occur in the elderly, because often without typical clinical manifestations, so misdiagnosis and missed diagnosis and high mortality. In this paper, our hospital from May 2001 to May 2008 were treated 36 patients were analyzed retrospectively, clinical characteristics. 1 Materials and methods 1.1 Clinical data The group of 20 males and 16 females, aged 60 to 91 years, mean 73 years. Combined underlying diseases: hypertension in 12 cases, 8 cases of coronary heart disease, diabetes mellitus in 5 cases, 4 cases of constipation, chronic atrial fibrillation in 3 cases, rheumatoid heart disease with atrial fibrillation, 2 cases of femoral head replacement surgery, and appendectomy after operation in 1 case, arrhythmia in 2 cases, 1 case of acute cerebral infarction, pancreatic cancer and renal cell carcinoma in 1 case, no underlying diseases combined 4 cases. 1.2 Clinical manifestations (112 patients with clinical manifestations of small bowel ischemia: 11 patients with acute onset, duration 8 h ~ 13 d, 1 case of chronic disease processes, disease duration 2 months. All patients had abdominal pain, pain, or pain, progressive increase, with blood in the stool 6 patients with abdominal distension, nausea, vomiting in 1 case, 1 patient with diarrhea, physical examination with peritoneal irritation in 3 cases (25%. 6 cases of elevated white blood cell (11.0 109 ~ 19.0 109 / L, fecal occult blood test was positive 3 cases, 8 cases of elevated serum amylase (116 ~ 1 211 U / L, elevated myocardial enzymes in 9 cases, 6 cases of prolonged clotting time (14 ~ 20 s, D dimer increased in 7 (385 ~ 15 800 g / L, (224 clinical cases of colon ischemia: 21 cases of acute onset, duration 5 h ~ 13 d. 3 cases of chronic disease process, duration of 1 to 6 months, respectively, 1,2,6 months. were the main descri