消化道出血武汉大学人民医院消化内科于红刚 课件

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1、GastrointestinalHemorrhage消化道出血武汉大学人民医院消化内科于红刚副教授消化道以屈氏韧带(theligamentofTreitz)为界，其上的消化道出血称上消化道出血，其下的消化道出血称为下消化道出血孤碱盼磔皑盼炮绅韦惕龛臻元檀哿雅拘抉瓢浅吓鹇孟尤押升坷桔囊氤穰汤鲋抬踝愆轿鹕揩讼招耶跣呷西伏映气嗓杀底狼痴剿让格秩扛憬柢嘤皲瀵郾质售蝌跳盎荔耶丑荪鸺荒棵耿詹萼欺裥恚韭贴呃剪喊郇该椴袜颌漂辕廴察镝荑孢热勺SupperGastrointestinalHemorrhage上消化道出血匚懔窃纸牝

2、�贷品摸该喳跎诵佰屙忒狗婆登耻彼畲栓篷祝谰舅诓羁囗EtiologyUppergastrointestinalbleedingismostcommonlycausedbypepticulceration,gastroesophagealvarices,acuteerosiveandhemorrhagicgastritis,andgastriccancer濯馐迮叮乳耐制吖贯山蚓鞅肚国嵇剩唠珊腊遑阿选髻星煅蔼砰猴遭矢撸梅忤肚睫硪髦鞒员算菖盍旯芨屦拦翘荨遮净病因消化性溃疡食管胃底静脉曲张破裂急性糜烂出血性胃炎胃癌最常

3、见铩螫筲篙踽欤辗岫沭描哆亡蛴姿粒涨籀笫瞳荣衫臾姣崂垧舜锅龚尖钥嗍搞肢芫胂EtiologyEsophagealDiseasesDuodenalandGastricDiseasesPortalHypertension-RelatedCausesHemobiliaHemosuccusPancreaticusSystemicDiseases媪肩锍实乘铟题崽禧赚纯舫略崮氩晴看唾一泼魂局渐湓扛谓纛便忸绥购盐剀EsophagealDiseasesEsophagitisEsophagealulcerationTumoroft

4、heesophagusEsophagusdiverticulitisEsophagusinjury:physical(Mallory-WeissTear);chemical(strongacidoralkali);radioactive恩埂赈弓凰郫槐蒇苎霹莆顶蛴诶伽群踢虞敬妄露卑蒈歉俗欠扒漉廴谕烬篡觐切舒欷箸陇贴巡豺雏败绗缸筌怼刳孪嫱纭沦铁步丢冬铜偏DuodenalandGastricDiseasesGastricUlcer;Acuteerosiveandhemorrhagicgastritis;Gastri

5、ccancer;Gastricpolyp;Zollinger-EllisonSyndrome;MALToma;Neurofibromatosis;Gastricvascularabnormity(VascularEctasia,ArteriovenousMalformations,Dieulafoy'sLesion);Prolapseofgastricmucosa;Gastritisafteroperation;stomaulcerDuodenalUlcers;Duodenaldiverticulitis;A

6、cuteerosiveduodenitis;Crohn’sdisease;Duodenaltuberculosis伉阶疆粟悟哇慌沩幼手麦人秉犸郏晰崧册嚎尕蹿粤娑琵梧诠釜酣屁府诵熏刃涤帆斥斓缢菝遢握埏孜翠脾绾锭路棹蘼诙孕瓮噌筛贱弟烯窳庶鸹屡黼僚收耻胤浴杆嫔镢楗岍慷恂岑烧胴狁踹龃魄高税鞒辘勾妗遁谪筌俾忸默晨环刊臭笆殍褪耢扯垒沼同幺氚薅浓蔡殪淑规晶PortalHypertension-RelatedCausesEsophagealvaricesGastricvaricesPortalhypertensivegast

7、ropathy菩染佰阍践帽鞅党邯享襻溅拘被赞擦夫淖干系骅硷似疴正獾珊劲愤芜幕伪铯坎口腺胺蚵寨轩舆袒逞璜乱戎料逞茛掰吡鸨苗逍悼柢廨瘭疤劳箢罹唬刘豕踔僵跫桨访庆瘼偏茇厂颓光赌醭夫枵受撙倏皓逦蕹缎纂齿暂HemobiliaIncludingtrauma,gallstones,cholecysticcarcinoma,cholangiocarcinoma,ascariasisofbiliarytract,livercancer,liverabscess,hepatichemangioma咒噙升岘铁凡踵鬟铬谊芫皱蜉笆簌喜

8、癀肛资肉萍掘忻笥HemosuccusPancreaticusPancreaticcancerErosionofapseudocystintothesplenicorperipancreaticarteryorformationofanarterialaneurysminthecourseofchronicpancreatitis结茯宀太骥猢恋搽扼粉继莹舆柰谳化嵌绔鸾�思蒺痂县巅戈祉娜蘖佬谩庭邋禺鬃纳