最近审阅: 26 十月 2020
最近更新: 04 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热或低体温
  • 腹痛
  • 炎症性肠病病史
  • 直肠压痛和充盈

其他诊断因素

  • 心动过速
  • 排便习惯的改变/肠道功能异常
  • 延发性肠梗阻
  • 厌食/食欲不振
  • 恶心和呕吐
  • 胆道疾病史
  • 可触及肿块
  • 营养不良
  • 出现脓毒症体征

危险因素

  • 糖尿病
  • 恶性肿瘤
  • 近期手术或外伤、阑尾炎、憩室炎或溃疡穿孔
  • 男性
  • 年龄> 65 岁

诊断性检查

首要检查

  • 白细胞计数
  • 腹部 CT 扫描
更多 首要检查

需考虑的检查

  • 血清 CRP
  • 血清红细胞沉降率 (ESR)
  • 脓液革兰染色
  • 引流培养
  • 血清葡萄糖
  • 血清肝功能检查
  • 血清白蛋白
  • 腹部超声
  • 腹部 MRI 扫描
  • 铟标记的白细胞
更多 需考虑的检查

新兴检查

  • 氟脱氧葡萄糖 (FDG)- 正电子发射断层成像 (PET) 和 FDG-PET/CT
  • 超声内镜
更多 新兴检查

治疗流程

撰稿人

Assistant Professor of Surgery

MetroHealth Medical Center

Case Western Reserve University School of Medicine

Cleveland

OH

利益声明

LK declares that she has no competing interests.

Dr Laura Kreiner would like to gratefully acknowledge Dr Ali F. Mallat, Dr Lena M. Napolitano, and Dr Lillian Kao, previous contributors to this topic.

利益声明

AFM declares that he has no competing interests. LMN has been a member of the speakers' bureau and consultant for Merck, Pfizer, Schering-Plough, Ortho-McNeil, Wyeth, and Astellas Pharma. LK declares that she has no competing interests.

同行评议者展开全部内容

Professor of Surgery (retired)

University of Minnesota

Saint Paul

MN

利益声明

JTL declares that he has no competing interests.

Director of Research

Division of Trauma, Burns and Critical Care

Assistant Professor

Department of Surgery

MetroHealth Medical Center

Case Western Reserve University School of Medicine

Cleveland

OH

利益声明

JAC declares that he has no competing interests.

Director

Alfa Institute of Biomedical Sciences

Marousi

Athens

Greece

利益声明

MF declares that he has no competing interests.

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