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

  • 年龄<2 岁
  • 经直肠排出鲜红血便(便血)
  • 顽固性便秘(顽固便秘)

其他诊断因素

  • 男性
  • 恶心和呕吐
  • 腹部绞痛
  • 下腹痛

危险因素

  • 不存在已知危险因素

诊断性检查

首要检查

  • 血常规
  • 锝-99m 高锝酸盐扫描(‘麦克尔扫描’)
  • 腹平片
  • 腹部和盆腔 CT 扫描
全部具体信息

需要考虑的检查

  • 造影剂灌肠
  • 小肠灌肠
  • 肠系膜血管造影
  • 腹部手术探查
全部具体信息

治疗流程

贡献者

Ali Tavakkoli MBBS, FRCS, FACS

Associate Professor of Surgery

Harvard Medical School

Brigham and Women's Hospital

Boston

MA

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

Dr Ali Tavakkoli would like to gratefully acknowledge Dr Gordon G. Wisbach, a previous contributor to this monograph. GGW declares that he has no competing interests.

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Professor of Surgical Oncology

Consultant Colorectal Surgeon

The Royal London Hospital

London

UK

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

Assistant Professor of Pediatrics

University of Alberta

Edmonton

Alberta

Canada

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

Associate Professor of Surgery

University of Maryland

Baltimore

MD

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

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