小结
鉴别诊断
常见
- 胃炎
- 胃食管反流病
- 消化性溃疡疾病
- 急性胃肠炎
- 食物中毒
- 慢性病毒感染后的恶心和呕吐
- 偏头痛
- 晕动病
- 良性阵发性位置性眩晕
- 卒中（栓塞性/缺血性/出血性）
- 高钙血症
- 甲状腺功能减退
- 胃出口梗阻
- 小肠梗阻
- 结肠梗阻
- 胆总管结石
- 胆囊炎
- 胃肠道术后
- 严重便秘
- 肠易激综合征
- 周期性呕吐综合征
- 胃节律紊乱
- 胃轻瘫
- 细菌性腹膜炎
- 神经性厌食症
- 神经性贪食
- 妊娠
- 药源性
- 肾结石
- 尿毒症
- 特发性功能性消化不良或餐后不适综合征
不常见
- 急性冠脉综合征
- 体位直立性心动过速综合征
- 梅尼埃病
- 听神经瘤
- 外伤性脑损伤
- 脑膜炎
- 脑脓肿
- 复杂部分性发作
- 中枢神经系统肿瘤
- 原发性肾上腺皮质功能减退（急性或慢性）
- 甲状腺功能亢进
- 垂体功能减退
- 热射病
- 急性胰腺炎
- 肥胖减重手术后遗症
- 原发性假性肠梗阻
- 继发性假性肠梗阻
- 腹部脓肿
- 癌性腹膜炎
- 胃癌
- 卵巢癌
- 肾癌
- 小细胞肺癌
- 胰腺癌
- 慢性肠系膜缺血
- 大麻素剧吐
- 使用抗生素或麻醉剂后的慢性恶心和呕吐
撰稿人
作者
Thomas L Abell, MD
Professor of Medicine
Arthur M. Schoen, MD, Chair in Gastroenterology
Gastrointestinal Motility Clinic
Louisville
KY
利益声明
TLA receives funding from the National Institutes of Health (NIH) Gastroparesis Clinical Research Consortium (GpCRC), and the NIH Gastric Dysrhythmias. He is an investigator for Censa, Cindome, Vanda, Allergan, Neurogastrx, snd Processa; a consultant for Censa, Nuvaira, Takeda, Medtronic, and Enterra Medical; a speaker for Takeda and Enterra Medical; a reviewer for UpToDate; the Gastric Electrical Stimulation editor for Neuromodulation, Wikistim; and the founder of ADEPT-GI which has intellectual property for autonomic/enteric and bioelectric diagnosis and therapies. TLA is an author of a number of references cited in this topic.
Prateek Mathur, MD
University of Louisville
Division of Gastroenterology, Hepatology, and Nutrition, Department of Medicine
Louisville
KY
利益声明
PM declares that he has no competing interests.
鸣谢
Professor Thomas L Abell and Dr Prateek Mathur would like to gratefully acknowledge Dr Kenneth L Koch, a previous contributor to this topic.
利益声明
KLK is a consultant for GlaxoSmithKline and a shareholder in 3 CPM Company. He is an author of a number of references cited in this topic.
同行评议者
James Neuberger, BM, BCh
Consultant Physician
Liver Unit
Queen Elizabeth Hospital
Birmingham
UK
利益声明
JN declares that he has no competing interests.
Daniel Leffler, MD, MS
Instructor in Medicine
Harvard Medical School
Director of Clinical Research
The Celiac Center
Beth Israel Deaconess Medical Center
Boston
MA
利益声明
DL declares that he has no competing interests.
Ned Snyder, MD, FACP
Professor of Medicine
Chief of Clinical Gastroenterology and Hepatology
University of Texas Medical Branch
Galveston
TX
利益声明
NS declares that he has no competing interests.
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