121-141消化.doc

121-141消化 121 、 clinical manifestation, diagnosis and treatment of acute gastritis clinical Performance: 1, mild symptoms: no symptoms, few patients showed abdominal discomfort, pain, anorexia, nausea, vomiting, diarrhea can be accompanied by enteritis, a watery, self limited course 2 days, symptoms disappeared in 3 case of acute gastric mucosal lesion, characterized by upper gastrointestinal bleeding often, bleeding (intermittent upper digestive tract hemorrhage from 10% to 25%). Signs: upper abdominal or periumbilical tenderness, hyperactive bowel sounds: = 1 GB2 in the diagnosis of clinical manifestations / basic disease / medication history + emergency endoscopy; = 2 GB2 - 2: the emergency gastroscopy endoscopy was performed after the occurrence of bleeding within 24~48h. Favorable for early diagnosis and endoscopic treatment. The GB2 = 3; the endoscopic features of gastric mucosa: charge Blood, edema, erosion, bleeding and multiple superficial ulcers. Treatment: remove the cause, stop all the stomach stimulation diet and drugs, for severe primary prevention, the use of acid suppression drugs, temporary fasting or liquid diet, drink more water. Symptomatic treatment: relieve spasm. Antiemetic. Acid inhibition. Correct water and electrolyte imbalance, vomiting and diarrhea, severe cases should be infusion. Those who suffer from upper gastrointestinal bleeding should be treated with hemostasis at the same time 121. The pathological and clinical manifestations of chronic gastritis and the classification of gastroscopic biopsy Pathology: the process of gastric mucosal damage and repair. The main characteristics are as follows: 1. inflammation: infiltration of inflammatory cells, mainly lymphocytes and plasma cells, in the lamina propria. 2. atrophy: the decrease in the number of glands in the lamina propria and the thinning of mucosa. 3. metaplasia: intestinal metaplasia, pyloric metaplasia, atypical hyperplasia Clinical table The patients with chronic gastritis chr