儿童恶心呕吐的评估

最后审阅: 5 Oct 2024
最后更新: 17 Aug 2021

小结

鉴别诊断

常见

  • 病毒性胃肠炎
  • 细菌性胃肠炎
  • 贾第鞭毛虫病
  • 偏头痛
  • 晕动病/旅行病
  • 迷路炎
  • 脑震荡(轻度创伤性脑损伤)
  • 脑膜炎
  • 脑肿瘤
  • 脑积水
  • 幽门狭窄
  • 肠套叠
  • 肠旋转不良
  • 小肠闭锁
  • 糖尿病酮症酸中毒
  • 胃食管反流病 (GORD)
  • 周期性呕吐
  • 胃轻瘫
  • 便秘
  • 功能性消化不良
  • 睾丸扭转
  • 泌尿道感染
  • 肾结石
  • 消化性溃疡病
  • 急性阑尾炎
  • 急性胰腺炎
  • 甲型肝炎
  • 乳糖不耐受
  • 食物过敏
  • 嗜酸粒细胞增多症
  • 神经性贪食
  • 有毒物质摄入
  • 药物不良反应
完整详情

不常见

  • 良性阵发性位置性眩晕
  • 假性脑瘤(良性颅内高压)
  • 肠系膜上动脉综合征
  • Addison 病
  • 先天性肾上腺增生
  • 蛋白代谢性疾病
  • 碳水化合物代谢异常
  • 体位直立性心动过速
  • 先天性巨结肠
  • 卵巢扭转
  • 溶血性尿毒症综合征
  • 肾孟输尿管连接部梗阻
  • 小肠淋巴瘤
  • 反刍
  • 做作性障碍
  • 大麻剧吐综合征
  • 中耳炎
  • 肺炎
完整详情

撰稿人

作者

John E. Fortunato, MD
John E. Fortunato

Professor of Pediatrics

Neurointestinal and Motility Program Director

Ann & Robert H. Lurie Children’s Hospital of Chicago

Chicago

IL

利益声明

JEF is on the advisory board (non-compensated) for the Gastroparesis Patient Association for Cures and Treatments (G-PACT).

鸣谢

Dr John E. Fortunato would like to gratefully acknowledge Dr Mary K. Rogers Boruta and Dr Roberto A. Gomez-Suarez, previous contributors to this topic. MKRB is a consultant for Medspira on paediatric integration for anorectal manometry by assisting with training providers on device use, for which she receives no compensation. There is no contractual agreement to disseminate product information. RAG-S declares that he has no competing interests.

同行评议者

David A. Bergman, MD

Associate Professor

Division of General Pediatrics

Stanford School of Medicine

Palo Alto

CA

利益声明

DAB declares that he has no competing interests.

Prateek D. Wali, MD

Assistant Professor

Pediatric Gastroenterology

Golisano Children's Hospital

Upstate Medical University

Syracuse

NY

利益声明

PDW declares that he has no competing interests.

Alistair G. Sutcliffe, MB ChB, MD, PhD, FRCP, FRCPCH, PG DIP CT

Reader in General Paediatrics

Honorary Consultant Paediatrician

University College London Hospitals and Great Ormond Street Hospitals

Associate Director

Gap Unit

Institute of Child Health

University College London

London

UK

利益声明

AGS is developing a project on the use of an antiemesis drug for gastroenteritis but has no other connection with the topic per se.

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