BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 一月 2018

小结

定义

病史和查体

关键诊断因素

  • 危险因素的存在
  • 恶心和呕吐
  • 腹胀
  • 无机械性梗阻或腹膜炎的特征(如腹疝、腹膜炎体征)

其他诊断因素

  • 顽固性便秘(不排便、不排气的严重便秘)
  • 不适与腹部绞痛
  • 肠鸣音减少或减弱
  • 低血容量

危险因素

  • 腹部手术
  • 急性/系统性疾病(如心肌梗死、肺炎、急性胆囊炎、胰腺炎、脓毒症和多器官外伤)
  • 非腹部手术
  • 电解质失调

诊断性检查

首要检查

  • 血清电解质
  • 血清镁
  • FBC(全血细胞计数)
  • 腹部 X 线
全部具体信息

需要考虑的检查

  • 血清肝功能试验
  • 血清淀粉酶
  • 血清脂肪酶
  • 血清白蛋白和前白蛋白
全部具体信息

治疗流程

贡献者

Steven D. Wexner MD, PhD (Hon), FACS, FRCS, FRCS (Ed)

Director

Digestive Disease Center

Professor and Chair

Department of Colorectal Surgery

Cleveland Clinic

Weston

FL

利益冲突披露
SDW is an investigator for almivopan studies, is a member of the speakers' bureaux for Adolor and GlaxoSmithKline, and has received an honorarium from Tranzyme Pharma.

Clinical Fellow in Advanced Colon and Rectal and Minimally Invasive Surgery

Cleveland Clinic Florida

Weston

FL

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

Dr Steven D. Wexner and Dr Ahmed Sami Chadi would like to gratefully acknowledge Dr Paula I. Denoya, a previous contributor to this monograph. PID declares that she has no competing interests.

同行评议专家 查看所有

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.

Consultant Colorectal Surgeon

St. Mark's Hospital

Harrow

UK

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

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