最后审阅： 5 十一月 2021
最后更新： 21 五月 2019

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）
更多 关键诊断因素

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
其他诊断因素

危险因素

  • 尚无已知的危险因素
更多 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’）
  • 腹平片
  • 腹部和盆腔 CT 扫描
  • 腹部超声
更多 首要检查

需考虑的检查

  • 对比灌肠
  • 小肠灌肠
  • 肠系膜血管造影
  • 腹部手术探查
更多 需考虑的检查

治疗流程

急症处理

无症状

症状性

撰稿人

作者

Ali Tavakkoli, MBBS, FRCS, FACS
Ali Tavakkoli

Associate Professor of Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

利益声明

AT consults for Medtronic, sees patients on behalf of Partners Healthcare and is the recipient of grants from NIH, Siemens and Sanofi, none of which conflicts with this topic.

鸣谢

Dr Ali Tavakkoli would like to gratefully acknowledge Dr Gordon G. Wisbach, a previous contributor to this topic. 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.

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