物诊3常见症状腹泻黄疸意识障碍课件.pptVIP

腹 泻 (Diarrhea);定 义Definition;分类Classify;急性腹泻的病因Etiology of acute diarrhea;慢性腹泻的病因（1）Etiology of chronic diarrhea (1); 慢性腹泻的病因（2）;发病机制 Mechanism;1 分 泌 性 腹 泻1 Secretory diarrhea;2 渗出性腹泻;3 渗透性腹泻3 Osmotic diarrhea ;4 动力性腹泻4 Dynamic diarrhea ;5 吸收不良性腹泻5 Malabsorption diarrhea;临床表现Clinical manifestation; 临床表现; 临床表现;伴随症状 Accompanied symptom;伴随症状;问诊要点;;黄 疸 (Jaundice);定 义Definition;;23; 胆红素的正常代谢（1）; 胆红素的正常代谢（2）; 胆红素的正常代谢;分 类Classification;病因、发生机制和临床表现 Etiology, pathogenesis and clinical occurrence ; 溶血性黄疸 Hemolytic Juandice;常见疾病; 溶血性黄疸代谢图;; 溶血性黄疸 Hemolytic Juandice; 溶血性黄疸 Hemolytic Juandice;肝细胞性黄疸  Hepatocellular Juandice; 肝细胞性黄疸代谢图;肝细胞性黄疸;常见疾病;肝细胞性黄疸 Hepatocellular Juandice;肝细胞性黄疸 Hepatocellular Juandice;胆汁淤积性黄疸Cholestasis Juandice ;胆汁淤积性黄疸代谢图;胆汁淤积性黄疸  Cholestasis Juandice ;胆汁淤积性黄疸 Cholestasis Juandice ;胆汁淤积性黄疸Cholestasis Juandice;三种黄疸实验室检查的区别;先天性非溶血性黄疸Congenital Unhemolytic JuandiceInherent Jaundice;Gilbert 综合征： 病因： 肝细胞摄取UCB障碍 葡萄糖醛酸转移酶不足 肝细胞摄取UCB障碍 UCB转化成CB障碍 血中UCB升高 肝活组织检查无异常;Dubin-Johnson综合征 病因： 肝细胞排泄CB障碍 CB向毛细胆管排泄障碍 血中CB增高 肝脏外观呈绿黑色，活检见肝细胞内有特异的棕褐色素颗粒;Crigler-Najjar 综合征 病因： 葡萄糖醛酸转移酶缺乏 肝细胞不能将UCB转化成CB 血中UCB明显升高 核黄疸的产生;Roter 综合征;辅助检查;53;辅助检查;黄疸伴随症状;小 结;;意识障碍Disturbance of consciousness;定义Definition;病因Etiology;病因Etiology;发生机制;Consciousness refers to a set of neural processes that allow an individual to perceive, comprehend, and act on the internal and external environments. It consists of two components: awareness and arousal. Awareness refers to the higher-level integration of multiple sensory inputs that permit meaningful understanding self and environment, residing in the cerebral cortex. Arousal refers to an “on-off switch” for the cortical awareness system by ascending reticular activating system (ARAS), residing in the brainstem. Any injuries involving both bilateral diffuse cerebral cortex and/or brainstem can cause di