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
- 疝
- 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
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
治疗流程
完全性或复杂性或绞窄性 SBO：适合手术者
完全性或复杂性或绞窄性 SBO：手术禁忌者
部分性 SBO
撰稿人
作者
John T. Jenkins, MD
Consultant Colorectal Surgeon
Department of Coloproctology
St. Mark's Hospital
London
UK
利益声明
JTJ declares that he has no competing interests.
Edward T. Pring, BSc(Hons), MBChB, MRCS
Surgical Registrar and Clinical Research Fellow
St. Mark's Hospital
London
UK
利益声明
ETP declares that he has no competing interests.
George Malietzis, MBBS, MSc, MRCS
Honorary Clinical Lecturer
Department of Surgery and Cancer
Imperial College
London
UK
利益声明
GM declares that he has no competing interests.
鸣谢
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
Steven D. Wexner, MD, FACS, FRCS, FRCS (Ed)
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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