上消化道出血教案版本.pptVIP

消化系统疾病急诊 第一节 上消化道出血 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  上消化道出血的定义 指屈氏韧带以上的食管、胃、十二指肠、 空肠上段以及胰腺、胆道等病变引起的出 血 般指数小时内失血量超过1000m或超出 循环血容量的30%以上,此时除呕血和黑 便外,并伴有血容量减少所引起的急性周 围循环衰竭 大出血指3h内输血1500m才能纠正休克 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  少上消化道出血的发病因素 上消化道疾病 全身性疾病 上消化道出血病因的统计 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  少上消化道出血病因的统计 ·溃疡病-置+十二指肠48.7% 食管静脉曲张破裂 254% 胃炎(急性胃粘膜病变)4.5% 胃肿瘤 3.1% Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  全身性疾病 血液病 心血管疾病 结缔组织病 尿毒症 应激性溃疡 急性传染病 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  上消化道出血有关的血液病 ·血小板减少 ·再生障碍性贫血 白血病 血友病 ·真性红细胞增多症 播散性血管内凝血 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  心血管疾病 ·急性心梗并休克 ·充血性心衰 腹主动脉瘤向肠腔穿破 遗传性出血性毛细血管扩张症 血管发育不良 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  结缔组织病 ·系统性红斑狼疮 皮肌炎 结节性多动脉炎 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L  急性传染病 ·流行性出血热 钩端螺旋体病 Evaluation only. ch Asposeslides for NET 4o dient P Evaluation only. Created with Aspose Slides for NET 4.0 dient Profilo 71 Copyright 2004-2017Aspose Pty L