Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN 55905, USA.
Mayo Clin Proc. 2012 Jun;87(6):596-602. doi: 10.1016/j.mayocp.2012.02.015.
The evaluation of the patient with diarrhea can be complex and the treatment challenging. In this article, the definition of diarrhea and the pathophysiologic mechanisms that lead to diarrhea are reviewed. A simplified 5-step approach to the patient with diarrhea is provided and applied in a case-oriented manner applicable to everyday clinical practice. On completion of this article, you should be able to (1) define diarrhea, (2) outline various pathophysiologic mechanisms of diarrhea, and (3) describe a simplified 5-step approach to facilitate the evaluation of diarrhea.
腹泻患者的评估可能较为复杂,治疗也颇具挑战。本文回顾了腹泻的定义和导致腹泻的病理生理机制。提供了一种简化的 5 步方法来处理腹泻患者,并以病例为导向的方式应用于日常临床实践。阅读完本文后,您应该能够:(1)定义腹泻,(2)概述腹泻的各种病理生理机制,以及 (3)描述一种简化的 5 步方法,以促进腹泻的评估。