最后审阅: 14 四月 2021
最后更新: 11 十二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 腹痛
  • 存在的危险因素
  • 指点征

其他诊断因素

  • 上腹部压痛
  • 恶心或呕吐
  • 早饱感
  • 体重减轻或厌食
  • 腹泻
  • 贫血的症状
  • 胃肠道出血
  • 低血压或脓毒性休克
  • 振水音

危险因素

  • 幽门螺杆菌感染
  • 使用非甾体抗炎药 (NSAID)
  • 吸烟
  • 年龄增长
  • 消化性溃疡病患者的个人史
  • 消化性溃疡病患者的家族史
  • 重症监护病房患者

诊断性检查

首要检查

  • 上消化道内镜检查
  • 幽门螺杆菌碳-13 尿素呼气试验或粪便抗原检测
  • 全血细胞计数 (FBC

需考虑的检查

  • 空腹血清胃泌素水平
  • 尿液 NSAID 筛查

治疗流程

撰稿人

Assistant Professor of Clinical Medicine

Division of Gastroenterology

Department of Medicine

Hospital of the University of Pennsylvania

University of Pennsylvania

Perelman School of Medicine

Philadelphia

PA

利益声明

KLL declares that she has no competing interests.

Dr Kristle Lynch would like to gratefully acknowledge Dr Marty M Meyer and Dr Steven Moss, previous contributors to this topic.

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Professor of Gastroenterology

Honorary Consultant Gastroenterologist

Leeds Institute of Medical Research at St. James's

University of Leeds

Leeds Gastroenterology Institute

Leeds Teaching Hospitals Trust

Leeds

UK

简介

ACF served on the National Institute for Health and Care Excellence (NICE) guideline committee for clinical guideline CG184: Gastro-oesophageal reflux disease and dyspepsia in adults: investigation and management.

利益声明

ACF declares that he has no competing interests. ACF is an author of a Cochrane systematic review cited in this topic.

Section Editor, BMJ Best Practice

利益声明

CP declares that she has no competing interests.

Head of Editorial, BMJ Knowledge Centre

利益声明

JH declares that she has no competing interests.

Drug Editor, BMJ Best Practice

利益声明

AM declares that he has no competing interests.

Comorbidities Editor, BMJ Best Practice

利益声明

JC declares that she has no competing interests.

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