小结
定义
病史和体格检查
关键诊断因素
- 年龄< 2 岁
- 经直肠排出鲜红血便（便血）
- 顽固性便秘（顽固便秘）
其他诊断因素
- 男性
- 恶心和呕吐
- 腹部绞痛
- 下腹痛
- 弥漫性腹部压痛
- 可触及腹部包块
- 低血压/心动过速
危险因素
- 尚无已知的危险因素
诊断性检查
首要检查
- 全血细胞计数 (FBC）
- 锝-99m 高锝酸盐扫描（‘麦克尔扫描’）
- 腹部和盆腔 CT 扫描
- 腹部超声
需考虑的检查
- 对比灌肠
- 肠系膜血管造影
- 小肠内镜检查
- 腹部手术探查
治疗流程
无症状
症状性
撰稿人
作者
Ali Tavakkoli, MBBS, FRCS, FACS
Chief
Division of General and GI Surgery
Brigham and Women's Hospital
Associate Professor of Surgery
Harvard Medical School
Boston
MA
利益声明
AT declares that he has no relevant financial conflicts related to this topic.
鸣谢
Dr Ali Tavakkoli would like to gratefully acknowledge Dr Gordon G. Wisbach, a previous contributor to this topic.
利益声明
GGW declares that he has no competing interests.
同行评议者
Sina Dorudi, PhD, FRCS, FRCS (Gen)
Professor of Surgical Oncology
Consultant Colorectal Surgeon
The Royal London Hospital
London
UK
利益声明
SD declares that he has no competing interests.
Wael El-Matary, MBBCh, MD, MRCP
Assistant Professor of Pediatrics
University of Alberta
Edmonton
Alberta
Canada
利益声明
WEM declares that he has no competing interests.
Stephen Kavic, MD
Associate Professor of Surgery
University of Maryland
Baltimore
MD
利益声明
SK declares that he has no competing interests.
鉴别诊断
- 阑尾炎
- 非 Meckel 憩室相关的肠套叠
- 胆绞痛
更多 鉴别诊断
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