肠旋转不良

最后审阅: 1 九月 2022
最后更新: 27 一月 2022

小结

定义

病史和体格检查

关键诊断因素

  • 胆汁性呕吐
  • 腹痛
更多 关键诊断因素

其他诊断因素

  • <1岁的婴儿
  • 腹部检查结果正常
  • 腹胀
  • 腹部压痛
  • 心动过速伴高血压
  • 心动过速伴低血压
  • 呼吸急促
  • 体重减轻
  • 尿布上陈旧血迹
  • 反跳痛和肌紧张
其他诊断因素

危险因素

  • 胚胎异常
更多 危险因素

诊断性检查

首要检查

  • 上消化道连续造影
  • 腹部 CT(口服和静脉使用 [IV] 造影剂)
  • 腹部平片
  • 全血细胞计数 (FBC)
更多 首要检查

需考虑的检查

  • 超声
  • 下消化道(GI)造影检查
  • 动脉血气 (ABG)
更多 需考虑的检查

治疗流程

初步治疗

肠梗阻伴缺血

急症处理

肠梗阻不伴缺血

间断或部分性肠扭转或Ladd带梗阻

可疑肠扭转不良或无症状发现者

撰稿人

作者

Michael Stanton, MB BS, MD, FRCS (Paed Surg)

Consultant Paediatric Surgeon and Honorary Senior Lecturer

Department of Paediatric Surgery

University Hospital Southampton

Southampton

UK

利益声明

MS acts as an expert witness and writes reports for medico-legal cases on an ad hoc basis.

鸣谢

Dr Michael Stanton would like to gratefully acknowledge Dr Stephen Shew, Dr S.D. St Peter, Dr Fizan Abdullah, and Dr Omar Karim, previous contributors to this topic.

利益声明

SS is the author of two references cited in this topic. SDSP is the co-author of one reference cited in this topic. FA and OK declared that they had no competing interests. FA and OK declared that they had no competing interests.

同行评议者

Casey M. Calkins, MD

Assistant Professor of Pediatric Surgery

The Medical College of Wisconsin

Children's Hospital and Health System

Milwaukee

WI

利益声明

CC declares that he has no competing interests.

Steve Rothenberg, MD

Chief of Pediatric Surgery

Chairman Department of Pediatrics

The Rocky Mountain Hospital for Children at Presbyterian/St. Luke's

Denver

CO

利益声明

SR declares that he has no competing interests.

KuoJen Tsao, MD

Assistant Professor

Department of Pediatric Surgery

University of Texas Health Science Center at Houston

Houston

TX

利益声明

KT declares that he has no competing interests.

Eric Nicholls, MD

Consultant Paediatric Surgeon

Paediatric Surgery

St George's Hospital

London

UK

利益声明

EN declares that he has no competing interests.

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