Kirschner B S
Pritzker School of Medicine, University of Chicago Medical Center, Illinois.
Pediatr Clin North Am. 1988 Feb;35(1):189-208. doi: 10.1016/s0031-3955(16)36406-9.
Ulcerative colitis and Crohn's disease are chronic intestinal disorders with diverse presentations that must be familiar to pediatricians. The subtlety of clinical signs and symptoms may be overshadowed by extraintestinal complications. An awareness of diagnostic techniques and the necessity of an integrated approach of medical and surgical management is emphasized. Potential complications may affect prognosis and require their own specific therapy. The management of these disorders entails an individualized assessment of the extent and severity of intestinal involvement, extraintestinal complications, as well as ongoing medical, nutritional, and emotional support.
溃疡性结肠炎和克罗恩病是儿科医生必须熟悉的具有多种表现形式的慢性肠道疾病。临床体征和症状的细微之处可能会被肠外并发症所掩盖。强调对诊断技术的认识以及医学和外科综合管理方法的必要性。潜在并发症可能影响预后，需要进行针对性治疗。这些疾病的管理需要对肠道受累的程度和严重程度、肠外并发症以及持续的医疗、营养和情感支持进行个体化评估。
