成人病毒性胃肠炎

最后审阅: 26 八月 2022
最后更新: 09 五月 2022

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
  • 呕吐
  • 恶心
  • 腹痛
完整详情

其他诊断因素

  • 不适感
  • 厌食
  • 发热
  • 血容量缺失
完整详情

危险因素

  • 接触被污染的食物或水源
  • 与受感染者密切接触
  • 卫生条件差
  • 年龄极端
  • HIV 感染
  • 器官移植
  • 慢性疾病
完整详情

诊断性检查

首要检查

  • 临床诊断
  • 全血细胞计数
  • 尿素和电解质
  • 肌酐
完整详情

需考虑的检查

  • 粪便培养,虫卵和寄生虫检测。
  • 粪便病毒培养
完整详情

治疗流程

急症处理

轻中度脱水

重度脱水或不能耐受口服补液

撰稿人

专家顾问

Alexander Alexiou, MB, BS, BSc, DCH, FRCEM, DipIMC RSEd

Consultant in Emergency Medicine

Royal London Hospital

Consultant in Physician Response Unit

Barts Health NHS Trust/London Air Ambulance

London

UK

利益声明

AA declares that he has no competing interests.

Acknowledgements,

BMJ Best Practice would like to gratefully acknowledge the previous expert contributors, whose work has been retained in parts of the content:

Kyle E. Brown MD, FAASLD

Associate Professor of Internal Medicine

University of Iowa

Carver College of Medicine

Iowa City

IA

Jenny Currigan

ST6 Emergency Medicine Trainee

Royal London Hospital

Barts Health NHS Trust

London

UK

Johann Grundlingh MBChB, FCEM, FFICM, EDICM, DFMS, DipMedTox, MMedTox, MSB, ERT, MEWI, MBA

Emergency Medicine Consultant

Royal London Hospital

Barts Health NHS Trust

London

Honorary Senior Lecturer

Queen Mary University

London

UK

利益声明

KEB, JC and JG declare that they have no competing interests.

同行评议者

Adam Evans,

Consultant Physician

Acute Medicine and Infectious Diseases Physician

Royal Victoria Infirmary

Newcastle upon Tyne

UK

利益声明

AE declares that he has no competing interests.

编辑

Emma Quigley,

Section Editor, BMJ Best Practice

利益声明

EQ declares that she has no competing interests.

Tannaz Aliabadi-Oglesby,

Lead Section Editor, BMJ Best Practice

利益声明

TAO declares that she has no competing interests.

Luisa Dillner,

Head of Research and Development, BMJ

利益声明

LD declares that she has no competing interests.

Julie Costello,

Comorbidities Editor, BMJ Best Practice

利益声明

JC declares that she has no competing interests.

Adam Mitchell,

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

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