最近审阅: 1 十一月 2020
最近更新: 16 二月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 腹泻
  • 腹部绞痛
  • 发热
  • 溶血性尿毒综合征的特征

其他诊断因素

  • 里急后重
  • 腹痛或压痛
  • 血容量不足的体征
  • 肠鸣音增加
  • 呕吐
  • 假性脑膜炎
  • 热性惊厥
  • 谵妄或嗜睡

危险因素

  • 暴露于被污染的水或食物,或直接粪-口接触
  • 年龄<5 岁
  • 年龄>50 岁
  • 营养不良
  • 卫生条件差,居住条件拥挤
  • 慢性疾病或免疫受损
  • 前往疫区旅行
  • 男男性行为者

诊断性检查

首要检查

  • 粪便显微镜检查、粪便培养和药敏试验
  • 血清尿素和肌酐
  • 全血细胞计数 (FBC)
更多 首要检查

需考虑的检查

  • 志贺氏杆菌得血清分型
  • 外周血涂片
  • 腹部 X 线检查
  • 可屈性乙状结肠镜检查
更多 需考虑的检查

治疗流程

撰稿人

Consultant Gastroenterologist

Department of Gastroenterology

John Radcliffe Hospital

Oxford

UK

利益声明

SK declares that he has no competing interests.

Consultant Hepatologist and Gastroenterologist

St Mark's and Northwick Park Hospitals

Middlesex

UK

利益声明

AB declares that he has no competing interests.

Dr Satish Keshav and Dr Ashley Barnabas would like to gratefully acknowledge Dr Gehanjali D.A. Amarasinghe and Dr Richard Pollok, the previous contributors to this monograph. GDAA and RP declare that they have no competing interests.

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Chief Medical Officer

Director of Food Safety and Security

US Food and Drug Administration

Rockville

MD

利益声明

DA declares that he has no competing interests.

Professor of Clinical Microbiology

Austrian Agency for Health and Food Safety (AGES)

Vienna

Austria

利益声明

FA declares that he has no competing interests.

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