课件：小肠疾病PPT课件.ppt

Treatment: Gas or barium enema(youngers). Operation :manual reduction bowel resection 肠系膜血管缺血性疾病 etiology and pathology 1.superior mesenteric artery embolus 2.superior mesenteric arterial thrombosis 3.superior mesenteric venous thrombosis 4.others: non-mesenteric vascular ischemia ischemia necrosis Clinical manifestation history of coronary heart disease or atrial fibrillation acute abdominal cramp severe symptom and slight abdominal sign in the early stage Diagnosis abdominal film, angiography (DSA) Treatment: Key point: Early diagnosis and reasonable therapy Vasodilating agent Surgical therapy Embolectomy Vascular bypass Intestinal resection and anastomosis Case1: Male,25 years old, complains of abdominal pain and distention for 2 days. PE: P 80, abdominal bulge, intestinal patterns and peristaltic waves, high-pitched bowel sound. Past history: He underwent appendectomy 3 month ago. Diagnosis and treatment? Case2: male,68 years old, complains of abdominal bowel motion for 3month,abdominal distention and stop pass gas and feces for 2 days. PE: P 90, Bp 130/70mmHg, abdominal bulge, intestinal patterns and peristaltic waves, high-pitched bowel sound. Diagnosis and treatment? Which examintation should be undergone for diagnosis? Short Bowel Syndrome Definition: Short Bowel Syndrome (SBS) is defined as malabsorption resulting from anatomical or functional loss of a significant length of the small intestine . Pathophysiology The majority of carbohydrate , protein ,fats, vitamins, bile salts absorption takes place in the small bowel. 100cm severe influence body fluid disorder and malnutrition Clinical findings First symptom:diarrhea,the severity relates to the length of residual bowel Weight loss, fatigue, malnutrition ,body fluid disorder Treatment Correct imbalance of metabolism and electrolyte Nutritional support total parenteral nutrition partial