溃疡性结肠炎的诊断与治疗

1、 Endoscopic features of active ulcerative colitis Figure 4-1. Endoscopic features of active ulcerative colitis. Findings include diffusely erythematous, edematous, and granular mucosa with areas of submucosal hemorrhage and, when severe, frank mucopurulent exudate. Inflammation invariably begins in

2、the rectum and extends proximally for varying extents. The chronicity of the process is suggested by the loss of colonic haustrations; otherwise, the endoscopic picture is nonspecific and could be consistent with acute infectious colitis, chronic ulcerative or Crohns colitis, or any number of other

3、specific causes of colitis. A, Mild distal ulcerative colitis with diffuse erythema and friability well demarcated from the normal mucosa more proximally is depicted. B, This example shows moderately severe ulcerative colitis with irregular, inflamed, ulcerated mucosa and a patchy exudate. Resected

4、colon from patient with ulcerative colitis Figure 4-8. Gross pathologic specimen of resected colon from a patient with severe ulcerative colitis. Inflammation is diffuse and continuous, involving the mucosa and extending from the rectum without interruption to the ascending colon. UC和CD的病理鉴别要点 + 始终有 +常有 +偶有 无 评估溃疡性结肠炎严重性的标准 可选用柳氮磺胺吡啶（SASPSASP）制剂，每 日34g34g，p op o；5- 5-氨基水杨酸（5-ASA5-ASA）制 剂。远段结肠者可SASPSASP栓剂0.51g0.51g，每日 2 2次；氢化可的松琥珀酸钠盐灌肠液 100200mg100200mg，每晚1 1次保留灌肠，或用相 当剂量的5-ASA5-ASA制剂灌肠，亦可用中药保 留灌肠治疗。 * 包括巨