Ischemic _'s general knowledge of colitis

Ischemic _'s general knowledge of colitis
Summary The intestinal blood supply mainly comes from arteria coeliaca, artery and branch under artery and mesenterium on the mesenterium. As these blood vessels transport the obstacle, the acute or chronic ischemic damage can happen in the corresponding intestine. Hitting the colon artery, right colon artery of ischemic artery from the mesenterium more of colitis; A few is ischemic small embolus or thrombosis. Age is over 50 more that this disease has illness coming on, half the number patient among them has essential hypertension, arteriosclerosis, coronary heart disease, diabetes. Man exceed women slightly, with acute to suffer from abdominal pain, suffer from diarrhoea and it has blood in one's stool to be his clinical characteristic, the gangrene dividing type, the crossing type and narrow type. Clinical manifestation 1.Acute to suffer from abdominal pain: Primary, continuation accompany popping aggravation, early to vomit while being sick, there is intestinal obstruction of incompleteness that behaves on later stage, if stimulate, solicit, brief on intestines necrosis, peritonitis the peritoneum; 2.Courageous and upright diarrhoea; 3.Generate heat; 4.Kind to take place it to the elderly, medical history such as many companion's essential hypertension, arteriosclerosis, heart disease, shock and taking medicine for a long time. Diagnose the basis 1.Greater than or equal to the patient 50 years old. With diseases such as essential hypertension, arteriosclerosis, coronary heart disease, diabetes,etc., there can be constipation sometimes, infect, take depressor, arrhythmia, inducements such as shock,etc.. 2.The proruption suffers from abdominal pain, suffer from diarrhoea and have blood in one's stool. 3.Have more anaemia, colon mirror has ischemic necrosises of characteristic nature that behaves; The enema X-ray examination of barium, acute one can be seen the thumb and print, it is in charge of the sign that the anaphase intestine are narrow; The artery radiography of mesenterium can find the blood vessel narrow or block and behave. Treat the principle 1.Fasting, middle, high flow support oxygen; 2.Dispel the inducement and treats companions and have illness coming on actively; 3.Expand the blood capacity, dredge and circulate a little, improve the ischemic state of mucous membrane of intestines; 4.Use antibiotic; 5.Improve the whole body state, resist shock, fluid infusion and correcting the heart to decline; 6.Accompany and have illness coming on and amalgamate the disease treatment; 7.It is therapeutic to perform the operation if necessary. Principle of using medicine 1.Still should pay close attention to while being early, seize every minute and second, dredge and a little circulate, support oxygen, use " A " A medicine; 2.The serious one selects " B " for use , " C " ,The person who has thrombus adopts and dissolves the bolt treatment; 3.Treat companions at the same time and have illness coming on: Coronary heart disease, arteriosclerosis, hypertension and diabetes, (administration please consult relevant chapters) ; 4.The condition is repeated, use medicine the course of treatment is lengthened; 5.Antibiotic; It is essential to select appropriate antibiotic for use; 6.If there is intestines necrosis, intestinal perforation does the surgery treatment; Auxiliary examination 1.In order to check the limit " A " of the frame to early light disease person Can diagnose clearly; 2.Understand companion have illness coming on number, condition adopt check the limit " B " of the frame ; 3.Mesenterium artery angiography can define the ischemic position offers the goal for further getting involved and treating. Curative effect is appraised 1.Cure: Suffer from abdominal pain and courageous and upright diarrhoea disappear totally, intestines mirror reveal intestines mucous membrane return to normal; 2.Take a favorable turn: Suffer from abdominal pain, courageous and upright diarrhoea obviously takes a favorable turn, the intestines is narrow after the mucous membrane of intestines is tended to normally or left over; 3.Have not healed: Suffer from abdominal pain and courageous and upright diarrhoea relieve, even intestinal perforation, take place in the gangrene type more.
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