BMJ Best Practice
最后审核时间: 十月 2018
最近更新时间: 八月 2018

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 腹痛
  • 长期腹泻
  • 肛周病变

其他诊断因素

  • 肠梗阻
  • 大便带血
  • 发热
  • 疲劳

危险因素

  • 白人血统
  • 15-40 岁或 60-80 岁
  • 克罗恩病家族史
  • 吸烟

诊断性检查

首要检查

  • 全血细胞计数(FBC)
  • 铁元素检测(血清铁、血清铁蛋白、总铁结合力 [total iron binding capacity, TIBC]、转铁蛋白饱和度)
  • 血清维生素 B12
  • 血清叶酸
全部具体信息

需要考虑的检查

  • 上消化道和小肠系列检查
  • 腹部和骨盆超声检查
  • 结肠镜检查
  • 组织活检
全部具体信息

新兴检查

  • 粪便钙卫蛋白或粪便乳铁蛋白
全部具体信息

治疗流程

贡献者

Consultant Colorectal Surgeon

Imperial College Healthcare NHS Trust

London

UK

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

SpR in Gastroenterology and General Medicine

Imperial College Healthcare NHS Trust

Research Fellow

Imperial College London

London

UK

利益冲突披露
GW declares that she has no competing interests.

SpR in General Surgery

Imperial College Healthcare

Research Fellow

Imperial College London

London

UK

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

Mr George Reese, Dr Georgia Woodfield, and Mr Pranav H. Patel would like to gratefully acknowledge Dr Philip J. Smith, Dr Charlotte Ford, Dr Wissam Bleibel, Dr Bishal Mainali, Dr Chandrashekhar Thukral, and Dr Mark A. Peppercorn, the previous contributors to this topic. PJS, CF, WB, BM, CT, and MAP declare that they have no competing interests.

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Chief of Gastroenterology & Hepatology

Professor of Medicine

Director of Crohn's & Colitis Center of New Jersey

New Brunswick

NJ

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

Consultant Gastroenterologist and Senior Lecturer

Royal Victoria Infirmary

Newcastle upon Tyne Hospitals NHS Foundation Trust and Newcastle University

Newcastle upon Tyne

UK

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

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