[摘要] 目的：探讨伪膜性肠炎(pseudrmembranous colitis，PMC)患者的临床表现及内镜特点，提高诊治水平。方法：对本院6年来诊治的18例PMC患者的临床资料进行回顾性分析。结果：PMC是一种长期应用抗生素的并发症，易发生在长期慢性疾病、年龄大、体质差及抗生素应用不规范的患者，表现为腹泻、腹痛、血便等症状，结肠镜检查发现多数患者伪膜呈连续性或散在性分布。结论：抗生素不规范应用是主要病因，尤其老年及重症患者，结肠镜检查是诊断PMC快速而可靠的方法，治疗应停用相关抗生素口服甲硝唑、万古霉素和益生菌是治疗PMC有效方法。

    [关键词] 伪膜性肠炎；临床特点；结肠镜；临床分析

    [中图分类号] R516.1 [文献标识码] A [文章编号] 1674-4721(2012)01(b)-180-02

    Endoscopic and clinical analysis of 18 patients with Pseudomanbranous Colonitis

    WU Lijuanm, ZHAO Yongjie, DONG Caihong, QIAO Nana

    Department of Endoscope Center，the First Affiliated Hospital of Henan University of Science and Technoligy, Luoyang 471003，China

    [Abstract] Objective: To analyze the clinical manifestationand endoscopic features of PMC ......