BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 右上腹部或者上腹部疼痛(持续>30 分钟)

其他诊断因素

  • 餐后痛
  • 右上腹部或上腹部压痛
  • 恶心
  • 黄疸

危险因素

  • 年龄增长
  • 女性
  • 拉丁美洲和美国土著人
  • 家族史

诊断性检查

首要检查

  • 全血细胞计数(FBC)
  • 血清肝功能检查
  • 血清脂肪酶或者淀粉酶
  • 腹部超声
全部具体信息

需要考虑的检查

  • 磁共振胰胆管造影术 (MRCP)
  • 内镜超声扫描(EUS)
  • 内镜逆行胰胆管造影术 (ERCP)
  • 腹部 CT 扫描
全部具体信息

治疗流程

贡献者

Professor of Medicine

Division of Gastroenterology

University of Calgary

Calgary

Canada

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

Professor Eldon Shaffer would like to gratefully acknowledge Dr Vikesh K. Singh and Dr Anthony N. Kalloo, previous contributors to this monograph. VKS and ANK declare that they have no competing interests.

同行评议专家 查看所有

Assistant Professor

Director of Pancreatic Disorders

Section of Gastroenterology

Dartmouth-Hitchcock Medical Center

Lebanon

NH

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

Professor of Hepatobiliary Surgery

Manchester Royal Infirmary

Manchester

UK

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

Clinical Research Fellow

Hepatopancreatobiliary and Liver Transplant Surgery

University Department of Surgery

Royal Free Campus

UCL Medical School

London

UK

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

使用此内容应接受我们的免责声明