Heinrich Henriette, Vavricka Stephan R
Abteilung für Gastroenterologie und Hepatologie, Stadtspital Triemli, Zürich.
Ther Umsch. 2014 Sep;71(9):559-64. doi: 10.1024/0040-5930/a000552.
Bloody diarrhoea is always a warning sign and should prompt a more thorough history on duration and accompanying symptoms as well as current medications (antibiotics, NSAR) and diseases (HIV, IBD, transplant organ recipients). In this review the most common bacterial, viral and parasitical causes of bloody diarrhoea as well as radiation and ischemic colitis will be discussed. Additionally important diagnostic tools such as stool cultures and calprotectin for infectious causes auf diarrhoea and imaging tools (CT and endoscopy) for ischemic disease are presented. The causes of bloody diarroea in immunosuppressed patients and IBD are additionally addressed.
血性腹泻始终是一个警示信号,应促使医生更全面地了解病程、伴随症状以及当前所服用的药物(抗生素、非甾体类抗炎药)和所患疾病(艾滋病、炎症性肠病、器官移植受者)。在本综述中,将讨论血性腹泻最常见的细菌、病毒和寄生虫病因以及放射性和缺血性结肠炎。此外,还介绍了重要的诊断工具,如用于腹泻感染病因的粪便培养和钙卫蛋白,以及用于缺血性疾病的成像工具(CT和内镜检查)。还额外讨论了免疫抑制患者和炎症性肠病患者血性腹泻的病因。