Hematemesis(呕血).pptVIP

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2017-06-21 发布于湖北
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Hematemesis(呕血).ppt

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Hematemesis(呕血)

Hemetamesis and Hemetochezia(Acute GI Hemorrhage);Five Ways of GI Bleeding;Factors affect the way to manifest;Differentiating Upper from Low GI Bleeding;Common cause of up GI bleeding;Less common cause of up GI bleeding;BENIGN GASTRIC ULCER;Duodenum Ulcer;GE Varices;;;;Clinical manifestation of GI Bleeding;Hematemesis with other symptoms;Lab.Examination in Localization Diagnosis of GI Bleeding;Approach to the patient with acute upper gastrintesttinal hemorrhage;;Summary of Acute GI Bleeding;The questions should be posed;2005年中国急性上消化道出血诊治指南;失血量的评估 ;出血严重程度评估;急性上消化道出血患者Rockall再出血和死亡危险性评估系统;Endoscopic view of a Mallory-Weiss tear with active bleeding (gastric lumen is at top left). B, Endoscopic view of an organized clot adherent to a Mallory-Weiss tear (gastric lumen is at bottom left ).;Endoscopic view of a Dieulafoy lesion on the lesser curvature of the stomach;Endoscopic view of a vascular ectasia (angiodysplasia) in the duodenum. ;Endoscopic view of the gastric antrum with watermelon stomach. The pylorus is at top center. Note the linear distribution pattern of the vascular lesions arranged radially around the pylorus.;Endoscopic views of ulcers with stigmata of recent hemorrhage. A, Duodenal ulcer with a visible vessel. B, Gastric ulcer with a red spot in the center of the crater. C, Duodenal ulcer with a red spot in the center of the crater. D, Purplish clot adherent to a gastric ulcer. ;;Typical picture of a trivial nonsteroidal anti-inflammatory drug (NSAID)-induced injury to the gastric mucosa. There are multiple small erosions with brown-black staining of the center as a result of local bleeding and petechiae.;Typical round gastric ulcer at the angulus (incisura) of the stomach.;Causes of Low GI Bleeding ;Differentiating Upper from Low GI Bleeding;Hematochezia with other symptoms;Lab. Examination For detecting Low GI Bleeeding;;;;A, Linear ulcers of Crohns colitis. B, Mucosa surrounding the ulcers is nodular (cobblestoning).;Shigella colitis. Patchy ar