消化道出血med126com材料.ppt

消化道出血;消化道出血-----呕血;呕血;; 对出血的诊断、治疗及预防之前，病人的血液动力学必须稳定。 Despite the increasing armamentarium of the therapeutic endoscopist and angiographer（血管造影）, the cornerstone of management for GI hemorrhage remains rapid assessment of the patient with appropriate resuscitation. The patient must be hemodynamically stabilized before diagnosis, therapy, and prevention of rebleeding can begin. ;病因;病 因;病因;病因;病因;一．消化性溃疡（Peptic Ulcers ）;二. 门脉高压症　（Portal Hypertension） ;;三．食管喷门粘膜撕裂综合征Mallory-weiss syndrome;食管喷门粘膜撕裂综合征Mallory-weiss syndrome;五．胃肿瘤;胃黏膜损伤;应激性病变;食管损伤;四．The Dieulafoys ;;;呕血的原因以消化性溃疡引起最为多见. 其次为胃底或食道