腹泻诊疗惯例(国外英文资料).doc

腹泻诊疗常规 Routine diarrhoeal treatment [clinical presentation] 1, the main symptoms: defecate number increase, defecate is greater than 3 times a day, every day excrement and urine amount is more than 200 g, water content is more than 80% of excrement and urine, dung qualitative thin or with mucus, purulent blood and undigested food. Accompanying symptoms 1) abdominal pain: acute abdominal pain such as cholecystitis, appendicitis, pancreatitis, perforation of the digestive tract, and ectopic pregnancy. 2) associated with fever: in acute bacterial dysentery, typhoid and paratyphoid, intestinal tuberculosis, intestinal malignant lymphoma in acute phase, Crohn's disease and ulcerative colitis, sepsis, etc; 3) accompanied by a heavy weight: in colon rectal disease, such as acute dysentery, rectal inflammation, or tumor; 4) accompanied by a significantly thinner person: in the small intestine lesions, such as gastrointestinal malignancies, intestinal tuberculosis and malabsorption syndrome, AIDS; 5) rash or subcutaneous bleeding: in septicemia, typhoid, paratyphoid fever, measles, allergic purpura, and pearly disease; 6) abdominal lumps: gastrointestinal malignancies, intestinal tuberculosis, Crohn's disease and schistosomal granulomas; 7) a heavy loss of water: in secreted diarrhea, such as cholera, bacterial food poisoning, or uremia. 8) joint pain or swelling: in Crohn disease, ulcerative colitis, systemic lupus, intestinal tuberculosis, etc. 9) toilet blood: seen in hemorrhoids, anal fissures and rectal tumors; 10) black: it is found in the digestive ulcer and the esophageal vein of the esophagus. "Classification" They are divided into acute diarrhoea and chronic diarrhoea according to the onset of disease. According to the etiology, it can be divided into infectious diarrhea and non-infectious diarrhea; According to the mechanism of pathogenesis, it is classified as secretion diarrhea, osmotic diarrhea, seepage diarrhea, irritable bowel movement and the absorption of