Pærregård Anders
Børneafdelingen 460, Hvidovre Hospital, Kettegård Allé 30, 2650 Hvidovre, Denmark.
Ugeskr Laeger. 2011 May 30;173(22):1573-6.
Causes of chronic diarrhoea (CD) are numerous. At the first consultation it is possible by simple means to evaluate the child for common causes and screen for the more severe ones: infection, food allergy, disaccharide malabsorption, general malabsorption (celiac disease and cystic fibrosis), inflammatory bowel disease, and functional disorders (toddler's diarrhoea and irritable colon syndrome). Second line evaluation should take place in the paediatric ward, aiming to confirm suspected, complicated disorders and to explore the possibility of the large number of rare causes of CD in the seriously sick child.
慢性腹泻（CD）的病因众多。在初次会诊时，通过简单方法就可以对儿童进行常见病因评估，并筛查出更严重的病因：感染、食物过敏、双糖吸收不良、全身性吸收不良（乳糜泻和囊性纤维化）、炎症性肠病以及功能性疾病（幼儿腹泻和肠易激综合征）。二线评估应在儿科病房进行，目的是确诊疑似的复杂疾病，并探究重病患儿中大量CD罕见病因的可能性。
