最近审阅: 24 十月 2020
最近更新: 08 二月 2019

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 排便困难或疼痛
  • 排便间的长间隔
  • 大便失禁
  • 少量、软便失禁
  • 腹部可触及粪块
  • 其他方面健康的儿童

其他诊断因素

  • 腹痛
  • 肛裂
  • 相关的膀胱问题
  • 异常肛门外观
  • 神经学检查异常

危险因素

  • 低膳食纤维饮食
  • 食物营养摄入不足
  • 遗传易感性
  • 感染
  • 压力
  • 肥胖
  • 低出生体重
  • 精神病史
  • 免疫失调
  • 液体摄入不足
  • 创伤

诊断性检查

需考虑的检查

  • 腹部 X 线检查
  • 不透射线标志物结肠通过试验
  • 腹部超声
  • 盆腔超声检查
  • 直肠粘膜活检
  • 心理评估
更多 需考虑的检查

新兴检查

  • 经直肠腔内超声检查
  • 肛门直肠测压
  • 结肠测压
更多 新兴检查

治疗流程

撰稿人

Director Neurogastroenterology and Motility Program

Digestive Health Institute

Children's Hospital Colorado

Associate Professor of Pediatrics

University of Colorado School of Medicine

Colorado

CO

利益声明

JB-G declares that he has no competing interests.

Instructor in Pediatric Gastroenterology

Massachusetts General Hospital for Children

Boston

MA

利益声明

CZ-K has been reimbursed by Genzyme for speaking at several conferences.

Fellow in Pediatric Gastroenterology

Massachusetts General Hospital for Children

Boston

MA

利益声明

CB declares that he has no competing interests.

Dr Jaime Belkind-Gerson, Dr Claire Zar-Kessler, and Dr Corey Baker would like to gratefully acknowledge Dr Wael El-Matary, Dr Steffen Reinsch, and Dr Meghan McPherson, the previous contributors to this topic. WE-M, SR, and MM declare that they have no competing interests.

同行评议者展开全部内容

Consultant Paediatric Gastroenterologist

Royal West Sussex NHS Trust

Chichester

UK

利益声明

DCAC has served as a consultant to, and spoken at symposia sponsored by, Norgine Ltd.

Gastroenterology Fellow

University of Arizona

Tucson

AZ

利益声明

VB declares that he has no competing interests.

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

利益声明

DJH declares that he has no competing interests.

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