最近审阅: 6 十一月 2020
最近更新: 23 一月 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
  • 排气排便停止
  • 腹痛
  • 呕吐
  • 腹胀
  • 腹部压痛
  • 完全性便秘(完全停止排便排气)
  • 腹膜炎
  • 便秘
  • 可触及腹部包块
  • 可触及的直肠肿块

其他诊断因素

  • 恶心
  • 发热
  • 心动过速
  • 极度虚弱
  • 低血压
  • 腹泻
  • 腹股沟肿胀

危险因素

  • 既往腹部手术史
  • 肠旋转不良
  • 克罗恩病
  • 阑尾炎
  • 肠道恶性肿瘤
  • 肠套叠
  • 肠扭转
  • 肠扭转
  • 异物摄入

诊断性检查

首要检查

  • 腹部 X 线
  • 全血细胞计数(FBC)
  • 尿素
  • 电解质检查
  • 腹部 CT 扫描
更多 首要检查

需考虑的检查

  • 上消化道 X 线摄影检查及小肠钡餐造影
  • 剖腹术
  • 腹腔镜
  • 腹部超声
  • 腹部 MRI
更多 需考虑的检查

治疗流程

撰稿人

Consultant Colorectal Surgeon

Department of Coloproctology

St. Mark's Hospital

London

UK

利益声明

JTJ declares that he has no competing interests.

Surgical Registrar and Clinical Research Fellow

St. Mark's Hospital

London

UK

利益声明

ETP declares that he has no competing interests.

Honorary Clinical Lecturer

Department of Surgery and Cancer

Imperial College

London

UK

利益声明

GM declares that he has no competing interests.

Dr John T. Jenkins, Dr Edward T. Pring, and Dr George Malietzis would like to gratefully acknowledge Dr Frances J. McNicol and Dr David J. Hackam, previous contributors to this topic.

利益声明

FJM and DJH declare that they have no competing interests.

同行评议者展开全部内容

Chief Academic Officer

Emeritus Chief of Staff (1997-2007)

Chairman Department of Colorectal Surgery

Professor of Surgery Ohio State University

Affiliate Professor Department of Surgery

Division of General Surgery

University of South Florida College of Medicine

Cleveland Clinic Florida

FL

利益声明

SDW declares that he has no competing interests.

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