呕血便血幻灯课件.pptVIP

呕血; ; 定义： 呕血（hematemesis）是由上消化道疾病（指屈氏韧带以上的消化器官，包括食管、胃、十二指肠、肝、胆、胰疾病）或全身性疾病所致的急性上消化道出血，血液从口腔呕出。;病因 1.食管疾病： 食管静脉曲张破裂 食管癌 食管异物 食管贲门粘膜撕裂（Mallory-Weiss） 2.胃及十二指肠疾病： 消化性溃疡 急性胃粘膜病变 胃癌;Esophageal varices grade II (right) und grade III (left). Cherry red spots are signs of imminent hemorrhage (right). They correspond to areas of especially thin and altered variceal wall. ;This massive vessel with active bleeding was diagnosed in a 58 year- old patient, who presented with tary stools. The first picture shows the lesion after i