紧急程度中等
--
它是存在于大肠壁中的小扩张的炎症,称为憩室。老年人经常这样。
便秘和坚硬的大便迫使肠壁加强排空,这导致憩室的形成。当它们充满粪便,被感染和发炎时,会出现憩室炎。
症状包括下腹部疼痛和发烧。其他相关症状:便秘或腹泻,恶心,呕吐,发冷和直肠出血。
通过询问和体格检查确诊。通过成像测试(放射线照相,超声波,计算机断层扫描)确认。
治疗方法是镇痛,肠道休息和抗生素。如果穿孔复杂,可能需要紧急手术。警报的迹象:非常剧烈的急性腹痛,便血,持续发烧。
- John H Pemberton. Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. UpToDate. Jun 16, 2016.
- John H Pemberton. Clinical manifestations and diagnosis of acute diverticulitis in adults. UpToDate. Dec 15, 2015.
- Shahedi K, Fuller G, Bolus R, et al. Long-term risk of acute diverticulitis among patients with incidental diverticulosis found during colonoscopy. Clin Gastroenterol Hepatol 2013; 11:1609.
- Strate LL, Peery AF, Neumann I. American Gastroenterological Association Institute Technical Review on the Management of Acute Diverticulitis. Gastroenterology 2015; 149:1950.
- Ahmed R, Gearhart SL. Diverticulosis y trastornos anorrectales frecuentes. Harrison. Principios de Medicina Interna. Volumen 2. 19º Edición: 1971-1973.
医生 Sara Vitoria
版权© TeckelMedical 2026

