紧急程度很低
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这是4岁以上儿童发生的非自愿排便。
没有任何有机原因可以证明这一点。它与不受控制的排尿持续存在有关。可能的原因可能包括情绪问题,便秘,社会经济地位低下。男孩比女孩更常见。
大便失禁的症状和体征可能包括衣服中的粪便或液体粪便泄漏(可被误认为腹泻),便秘干燥和硬便,消除大便,不想排便,大便之间长时间,缺乏食欲,腹痛,白天尿失禁问题和反复性膀胱炎(通常在女孩)。
通过临床病史和体格检查进行诊断。
有两个主要方面:旨在治疗和预防便秘的治疗(饮食,灌肠,聚乙二醇溶液)和心理治疗。在某些情况下,两者的组合可能是必要的。
- Manu R Sood, FRCPCH, MD. Functional fecal incontinence in infants and children: Definition, clinical manifestations and evaluation. Uptodate. Dec 21, 2016.
- Manu R Sood, FRCPCH, MD. Chronic functional constipation and fecal incontinence in infants and children: Treatment. Uptodate. Feb 10, 2017.
- Tabbers MM, DiLorenzo C, Berger MY, et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediatr Gastroenterol Nutr 2014; 58:258.
- Brazzelli M, Griffiths PV, Cody JD, Tappin D. Behavioural and cognitive interventions with or without other treatments for the management of faecal incontinence in children. Cochrane Database Syst Rev 2011; :CD002240.
- Peeters B, Noens I, Philips EM, et al. Autism spectrum disorders in children with functional defecation disorders. J Pediatr 2013; 163:873.
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