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

  • 危险因素的存在
  • 发热或低体温
  • 腹痛
  • 直肠压痛和充盈

其他诊断因素

  • 心动过速
  • 排便习惯的改变/肠道功能异常
  • 延发性肠梗阻
  • 厌食/食欲不振

危险因素

  • 糖尿病
  • 恶性肿瘤
  • 近期手术或外伤、阑尾炎、憩室炎或溃疡穿孔
  • 男性

诊断性检查

首要检查

  • 白细胞计数
  • 腹部 CT 扫描
全部具体信息

需要考虑的检查

  • 血清 CRP
  • 血清红细胞沉降率
  • 脓液革兰染色
  • 引流培养
全部具体信息

新兴检查

  • 氟脱氧葡萄糖 (FDG)- 正电子发射断层成像 (PET) 和 FDG-PET/CT
  • 内镜超声
全部具体信息

治疗流程

贡献者

Assistant Professor of Surgery

Case Western University

Cleveland

OH

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

Dr Lillian Kao and Dr Laura Kreiner would like to gratefully acknowledge Dr Ali F. Mallat and Dr Lena M. Napolitano, previous contributors to this monograph. AFM declares that he has no competing interests. LMN has been a member of the speakers' bureau and consultant for Merck, Pfizer, Schering-Plough, Ortho-McNeil, Wyeth, and Astellas Pharma.

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Professor of Surgery (retired)

University of Minnesota

Saint Paul

MN

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

Director of Research

Division of Trauma, Burns and Critical Care

Assistant Professor

Department of Surgery

MetroHealth Medical Center

Case Western Reserve University School of Medicine

Cleveland

OH

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

Director

Alfa Institute of Biomedical Sciences

Marousi

Athens

Greece

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

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