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
  • 腹痛
  • 心动过速
  • 高血压
全部具体信息

其他诊断因素

  • 恶心
  • 呕吐
  • 腹胀
  • 便秘
全部具体信息

危险因素

  • 家族史
  • 女性
  • 药物
  • 孕酮水平升高
全部具体信息

诊断性检查

首要检查

  • 尿卟吩胆色素原 (PBG)
  • 尿胆色素原 (PBG) 定量测量
  • 尿总卟啉
  • 血清胆色素原 (PBG)
全部具体信息

需要考虑的检查

  • δ-氨基乙酰丙酸 (ALA)
  • 血浆总卟啉
  • 高效液相色谱法测定 (HPLC) 尿卟啉
  • 粪总卟啉
全部具体信息

治疗流程

急性

轻度急性发作

严重急性发作

疾病持续状态

非周期性反复发作

女性频繁的周期性发作

药物疗法无效

贡献者

作者 查看所有

Associate Professor

Department of Medicine and Surgery

Baylor College of Medicine

Houston

TX

利益冲突披露
GS is an author of a number of references cited in this topic.

Professor

Departments of Preventive Medicine and Community Health and Internal Medicine

University of Texas Medical Branch

Galveston

TX

利益冲突披露
KEA has received grants from the National Institutes of Health, the US Food and Drug Administration, and Alnylam Pharmaceuticals; he is an author of a number of references cited in this topic.

同行评议专家 查看所有

Medical Director

Spine Center

Interventional Spine Physiatrist

Pain Medicine Specialist

Burlington

MA

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

Professor of Medical Sciences

Gardiner Institute

Western Infirmary

Glasgow

UK

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

Professor Emeritus of Medicine

Division of Gastroenterology

UC Davis Medical Group GI Unit

Sacramento

CA

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

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