《诊断学》 四川大学华西医学院-04呕血和便血.pptVIP

Diagnosis ofGastrointestinal Bleeding Prof. Chengwei Tang (唐承薇 教授) Dept. of Gastroenterology, West China Hospital Sichuan University Hematemesis and Hematochezia 呕血与便血 Recognition of hemorrhage Recognition of hemorrhage Clinical Manifestations 1 Manner of bleeding presentation 2 Hypovolemia (低血容量) or shock 3 Anemia (贫血) Patients manifest blood loss 1) Hematemesis 呕 血 Bloody vomitus, either fresh and bright red or older and “coffee -ground” (hematin 酸化正铁血红素) in character Hemoptysis? Nosebleeding? Manner of bleeding presentation Manner of bleeding