BMJ Best Practice
最后审核时间: 七月 2019
最近更新时间: 五月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 吞咽困难
  • 非特异性腹痛
  • 喘鸣和哮鸣

其他诊断因素

  • 噎食、恶心/呕吐、颈痛/咽喉痛
  • 非典型性胸痛或非心源性胸痛
  • 窒息
  • 上消化道梗阻体征

危险因素

  • 年龄 <15 岁
  • 消化道狭窄
  • 消化道机械性疾病
  • 药物依赖

诊断性检查

首要检查

  • 颈部、胸部和腹部 X 光检查
  • 全血细胞计数 (FBC)
  • 尿素和电解质
  • 凝血酶原时间/INR
全部具体信息

需要考虑的检查

  • 心脏生物标志物
  • 心电图 (ECG)
  • 颈部、胸部和/或腹部 CT
  • 核磁共振成像 (MRI)
全部具体信息

治疗流程

贡献者

Associate Professor

Department of Emergency Medicine

GW School of Medicine & Health Sciences

Center for Healthcare Innovation and Policy Research

Washington

DC

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

Dr Andrew C. Meltzer would like to gratefully acknowledge Dr Juan Carlos Munoz and Professor Luis F. Laos, previous contributors to this topic.

利益冲突披露
JCM and LFL declare that they have no competing interests.

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Consultant

Ganesh Man Singh Memorial Academy of ENT and Head and Neck Studies

TU Teaching Hospital

Maharajgunj

Kathmandu

Nepal

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

General Surgery Chief Resident

Department of General Surgery

University of Tennessee Medical Center

Knoxville

TN

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

Clinical Research Fellow

Cleveland Clinic Florida

Weston

FL

利益冲突披露
RVS 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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