BMJ Best Practice
最后审核时间： 七月 2019
最近更新时间： 六月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 排便困难或疼痛
  • 排便间的长间隔
  • 大便失禁
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其他诊断因素

  • 腹痛
  • 肛裂
  • 相关的膀胱问题
  • 腹痛
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危险因素

  • 低膳食纤维饮食
  • 食物营养摄入不足
  • 遗传易感性
  • 感染
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诊断性检查

首要检查

  • 无初始检查
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需要考虑的检查

  • 腹部 X 线检查
  • 不透射线标记物结肠通过试验
  • 腹部超声
  • 盆腔超声检查
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新兴检查

  • 经直肠腔内超声检查
  • 肛门直肠测压
  • 结肠测压
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治疗流程

急性

无粪便嵌塞：＜1 岁

无嵌塞：≥1 岁

有嵌塞：＜1 岁

有嵌塞：1-3 岁

有嵌塞：≥4 岁

贡献者

作者 查看所有

Director Neurogastroenterology and Motility Program

Digestive Health Institute

Children's Hospital Colorado

Associate Professor of Pediatrics

University of Colorado School of Medicine

Colorado

CO

利益冲突披露
JB-G declares that he has no competing interests.

Instructor in Pediatric Gastroenterology

Massachusetts General Hospital for Children

Boston

MA

利益冲突披露
CZ-K has been reimbursed by Genzyme for speaking at several conferences.

Fellow in Pediatric Gastroenterology

Massachusetts General Hospital for Children

Boston

MA

利益冲突披露
CB declares that he has no competing interests.

Dr Jaime Belkind-Gerson, Dr Claire Zar-Kessler, and Dr Corey Baker would like to gratefully acknowledge Dr Wael El-Matary, Dr Steffen Reinsch, and Dr Meghan McPherson, the previous contributors to this topic. WE-M, SR, and MM declare that they have no competing interests.

同行评议专家 查看所有

Consultant Paediatric Gastroenterologist

Royal West Sussex NHS Trust

Chichester

UK

利益冲突披露
DCAC has served as a consultant to, and spoken at symposia sponsored by, Norgine Ltd.

Gastroenterology Fellow

University of Arizona

Tucson

AZ

利益冲突披露
VB declares that he has no competing interests.

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

利益冲突披露
DJH declares that he has no competing interests.

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