Mäkelä Jyrki, Roberto Blanco, Tero Rautio
Duodecim. 2014;130(11):1093-7.
Diverticulitis is suspected when the patient has pain and tenderness on palpation on the lower left abdomen, fever and an elevated CRP level. After a confirmed diagnosis, outpatient therapy of uncomplicated diverticulitis is possible, according to the latest research results even without antimicrobial drugs. CT scanning is usually unnecessary when the CRP level remains below 50 mg/l in the absence of signs of peritoneal irritation, but should always be performed when the value exceeds 150 mg/l. Unenhanced CT scan without contrast agent is well suited for the exclusion of complicated diverticulitis.
当患者左下腹部触诊有疼痛和压痛、发热且CRP水平升高时，怀疑患有憩室炎。确诊后，根据最新研究结果，即使不使用抗菌药物，非复杂性憩室炎的门诊治疗也是可行的。当CRP水平在无腹膜刺激征的情况下仍低于50mg/l时，通常无需进行CT扫描，但当该值超过150mg/l时应始终进行CT扫描。无造影剂的平扫CT扫描非常适合排除复杂性憩室炎。
