| 慢性便秘的诊断及其临床亚型的鉴别诊断 |
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| 引用本文： | 查慧,候晓华. 慢性便秘的诊断及其临床亚型的鉴别诊断[J]. 临床内科杂志, 2003, 20(5): 231-233 |
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| 作者姓名： | 查慧 候晓华 |
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| 作者单位： | 430022,武汉,华中科技大学同济医学院附属协和医院 |
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| 摘 要： | 便秘是临床常见的症状，包括便次太少，或排便不畅、费力、粪便干结且量少等。系统诊断很重要。病史采集和常规检查能初步鉴别器质性便秘和功能性便秘。肛门直肠测压和全胃肠通过时间等特殊的检查，能进一步指导便秘各临床亚型的诊断。
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| 关 键 词： | 慢性便秘 诊断 病史 直肠指检 内镜检查 胃肠通过实验 肛门直肠测压 结肠压力监测 临床分型 鉴别诊断 |
| 文章编号： | 1001-9057(2003)05-0231-03 |
Diagnosis and differential diagnosis in chronic constipation |
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| ZHA Hui,HOU Xiaohua. Diagnosis and differential diagnosis in chronic constipation[J]. Journal of Clinical Internal Medicine, 2003, 20(5): 231-233 |
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| Authors: | ZHA Hui HOU Xiaohua |
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| Affiliation: | ZHA Hui,HOU Xiaohua.Union Hospital,Tongji Medical college,Huangzh ong University of Science and Technology,Wuhan 430022,China |
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| Abstract: | Constipation is a symptom and not merely a dis ea se.The patients may present with a variety of symptoms as follows:a decreased fr equency of bowel movements,feeling of incomplete evacuation,excessive straining, passage of hard and little stools.It is necessary to do a overall investigation, including history,physical examination and laboratory testing to identify second ary causes of constipation.Anorectal manometry,gastrointestinal transit test and so on are the most useful method to differentiate constipation subtypes. |
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| Keywords: | Chronic constipation Diagnosis |
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