上海交大外科学 上血PBL PPT课件.pptVIP

医学课件 上消化道大出血Massive Upper Gastrointestinal Bleeding 上海交通大学医学院 瑞金临床医学院 2009 Introduce Ourselves Dr. Yang Dr. Li Basic Concepts What Is Massive Bleeding 20% (800ml) blood loss Hemodynamic instability血流动力学不稳 Clinical signs of poor perfusion组织灌注差 What Is UGI Esophagus食道 Stomach胃 Duodenum十二指肠 Jejunum空肠 Ileum回肠 Ascending Colon升结肠 Transverse Colon横结肠 Descending Colon降结肠 Sigmoid Colon乙结肠 Rectum直肠 Anus肛门 Please Remember UGIB is not uncommon in the emergency room Mortality rate is about 10% UGIB is a series of diseases mainly treated by internal medicine. 3-15% require a surgical procedure Let’s ha