Diverticulitis
Diverticulitis
复制标题
DOI：
10.1056/nejmcp073228
复制
发表时间：
2007-11-15
影响因子：
158.5
通讯作者：
Jacobs, Danny O.
中科院分区：
文献类型：
--
作者：
Jacobs, Danny O.
一名先前健康的45岁男性患者在36小时前出现左侧严重的下腹疼痛。他以前曾定期注意到这一地区的轻微不适，但没有寻求治疗。他报告有任何口服相关的恶心、食欲减退和呕吐。体检显示，他的体温为38.5°C，心率为每分钟110次。他左侧有腹部压痛，没有腹膜迹象。他的案子应该如何处理？
A previously healthy 45-year-old man presents with severe lower abdominal pain on the left side, which started 36 hours earlier. He has noticed mild discomfort in this region periodically before but has not sought medical treatment. He reports nausea, anorexia, and vomiting associated with any oral intake. On physical examination, his temperature is 38.5°C and his heart rate is 110 beats per minute. He has abdominal tenderness on the left side without peritoneal signs. How should his case be managed?