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

  • 肛门直肠、神经系统或脊柱异常病史,或胃肠道手术史
  • 粪便污染或腹泻
  • 便秘
  • 肛周皮肤刺激

其他诊断因素

  • 行为问题
  • 排便疼痛
  • 腹痛/绞痛
  • 姿势-臀部收缩

危险因素

  • 慢性便秘
  • 男性
  • 年龄: 5 岁至 6 岁
  • 膳食纤维缺乏

诊断性检查

首要检查

  • 腹部 X 线检查
全部具体信息

需要考虑的检查

  • 即时钡灌肠
  • 脊柱 X 线
  • 脊柱 MRI 检查
  • 不透 X 线标志物法
全部具体信息

治疗流程

贡献者

Linda S. Nield MD, FAAP

Professor of Pediatrics

West Virginia University School of Medicine

Morgantown

WV

利益冲突披露
LSN is an author of a reference cited in this topic.

Associate Professor of Pediatrics

Section Chief of Pediatric Gastroenterology, Hepatology and Nutrition

West Virginia University School of Medicine

Morgantown

WV

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

Dr Linda S. Nield and Dr Brian D. Riedel would like to gratefully acknowledge Dr Uwe Blecker, a previous contributor to this topic.

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

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Assistant Professor

Division of Pediatric Urology

Monroe Carell Jr. Children's Hospital at Vanderbilt

Nashville

TN

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

Consultant Paediatrics Gastroenterologist

Western Sussex Hospitals NHS Trust

Chichester

Honorary Consultant Paediatric Gastroenterologist

Royal Alexandra Children's Hospital

Brighton and Sussex University Hospitals

Brighton

UK

利益冲突披露
DCAC has received research grants, consultancy fees, and reimbursement of conference expenses from Norgine UK, the manufacturer of Movicol. He is the author of a systematic review of polyethylene glycol-based laxatives; convenor of the Paris Consensus on Constipation Terminology Group; and external advisor of the National Institute for Health and Care Excellence paediatric constipation guideline development group.

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