成人便秘：综述与临床指南
Adult constipation: a review and clinical guide.
作者信息
Jacobs T Q, Pamies R J
机构信息
Case Western Reserve University School of Medicine, Cleveland, OH 44106-4966, USA.
出版信息
J Natl Med Assoc. 2001 Jan;93(1):22-30.
Constipation is a common complaint that can be a symptom of serious disease. Awareness of the potential etiologies can help direct the history, physical exam and subsequent work-up for the presenting individual. This article details the differential diagnosis and pathophysiology of constipation based on a review of the literature. The article is also designed to be useful as a guide to the work-up of constipation. Key elements of the history, physical exam and testing are outlined. Included is a detailed flow diagram to guide the work-up of constipation. Testing methods and their value in the evaluation of chronic idiopathic constipation are discussed. Finally, although the focus of this article is the evaluation of constipation, a section on the treatment of constipation is included.
便秘是一种常见的主诉，可能是严重疾病的症状。了解其潜在病因有助于指导对就诊患者的病史询问、体格检查及后续检查。本文通过文献综述详细阐述了便秘的鉴别诊断和病理生理学。本文还旨在作为便秘检查的实用指南。概述了病史、体格检查和检查的关键要素。其中包括一个详细的流程图，以指导便秘的检查。讨论了检测方法及其在评估慢性特发性便秘中的价值。最后，尽管本文重点是便秘的评估，但也包含了一个关于便秘治疗的章节。
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