最近审阅: 27 十月 2020
最近更新: 19 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
  • 发热/寒战
  • 心动过速
  • 精神状态改变
  • 低血压
  • 腹胀

其他诊断因素

  • 腹泻
  • 腹痛
  • 腹部压痛

危险因素

  • 溃疡性结肠炎 (UC)
  • 克罗恩结肠炎
  • 伪膜性结肠炎
  • 感染性结肠炎
  • HIV/AIDS/免疫抑制
  • 停用治疗炎症性肠病的药物
  • 抑制动力药物
  • 化疗/化学免疫抑制
  • 电解质异常

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 血清电解质
  • 血清白蛋白水平
  • 血清乳酸
  • 粪便检查
  • 腹部/盆腔 CT
  • 腹部 X 线检查
  • 胸部 X 线检查
更多 首要检查

需考虑的检查

  • C 反应蛋白 (CRP)
  • 红细胞沉降率 (ESR)
  • 血液培养
  • 乙状结肠镜检查
  • 直肠活检
  • 外科切除标本
更多 需考虑的检查

治疗流程

急性处理

撰稿人

Chief

Colorectal Surgery

Department of Surgery

Southern Illinois University School of Medicine

Springfield

IL

利益声明

JR is the President of the American Board of Colon and Rectal Surgery.

Assistant Professor of Surgery

Department of Surgery

Southern Illinois University School of Medicine

Springfield

IL

利益声明

VPP declares that he has no competing interests.

Dr Jan Rakinic and Dr V. Prasad Poola would like to gratefully acknowledge Dr Scott A. Strong, Dr Mukta V. Krane, and Dr Alessandro Fichera, previous contributors to this topic.

利益声明

SAS, MVK, and AF declare that they have no competing interests.

同行评议者展开全部内容

Assistant Professor of Surgery

Division of Colon and Rectal Surgery

University Hospital Case Medical Center

Cleveland

OH

利益声明

SS received a fee for educational courses on laparoscopic surgery, paid for in part by Covidien, Olympus, and Applied Medical.

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.

Consultant

Colorectal Surgeon

Addenbrookes Hospital

Cambridge

UK

利益声明

JW declares that he has no competing interests.

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