| Objective To learn the clinical characteristics of intestinal ischemia and to get better method for its diagnosis and treatment Methods 17 cases from the 1st affiliated hospital, 2nd affiliatget hospital and affiliated Shao Yi-Fu hospital of zhejiang university medical school were presented in our article, with other literature review. Results (1)17 patients include 9 males and 8 males, at an age range of 32—85. (2) Atrial fibrillation, hypertension, valvular disease or other diseases which could result in thrombus or embolism are very frepquent in our patients(13/17). (3) The major clinical presentations are stomachache(13/17), diarrhea(10/17), absence of breaking wind and defecation(3/17), hematochezia(10/17), vomitus(10/17). (4) Definite diagnosis are usually got with the help of B ultrasound(8/14), CT scan(1/17), DSA(3/17) and operation(5/17). (5) we hold a high misdiagnosis rate with intestinal ischemia patients. The acute patients were usually misdiagnosed as acute pancreatitis (3/12), acute gastroenteritis(3/12), or in a preliminary diagnosis of intestinal obstruction(4/17). While the chronic patients were frequently confused with ulcerative colitis(1/5). Conclusion Owning a low incidence rate, a high misdiagnosis rate and a bad prognosis, intestinal ischemia should cause our great attention, especially for the patients with Atrial fibrillation, hypertension or valvular disease,et al.
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