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期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/AITC202403190

摘要内容如下：

急性结肠憩室炎是初级保健和急诊科医生、住院医师、外科医生和胃肠病学家经常遇到的一种胃肠道疾病。临床表现从轻微腹痛到腹膜炎合并败血症不等。它通常仅根据临床特征进行诊断，但在更严重的情况下，影像学检查是必要的，以排除脓肿和穿孔等并发症。治疗取决于表现的严重程度、并发症的存在和潜在的共病情况。医疗和手术治疗算法正在不断发展。本文对急性憩室炎的流行病学、诊断和治疗进行了循证、临床相关的概述。

英文原文如下：

Abstracts

Acute colonic diverticulitis is a gastrointestinal condition that is frequently encountered by primary care and emergency department practitioners, hospitalists, surgeons, and gastroenterologists. Clinical presentation ranges from mild abdominal pain to peritonitis with sepsis. It is often diagnosed on the basis of clinical features alone, but imaging is necessary in more severe presentations to rule out such complications as abscess and perforation. Treatment depends on the severity of the presentation, the presence of complications, and underlying comorbid conditions. Medical and surgical treatment algorithms are evolving. This article provides an evidence-based, clinically relevant overview of the epidemiology, diagnosis, and treatment of acute diverticulitis.

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