英文课件消化性溃疡课件.pptVIP

此 ppt 下载后可自行编辑 英文课件 消化性溃疡 Peptic Ulcer disease (PUD) Learning Objectives ? To master the cause of peptic ulcer clinical manifestations and complications; Be familiar with the key points of the pathogenesis and treatment of peptic ulcer; To master the peptic ulcer nursing intervention and health education; ? ? Definition A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. (Uphold Graham, 2003) Peptic Ulcers: Gastric Dudodenal Peptic Ulcers: Gastric Duodenal gastric ulcer : the ulcer that occurs in the stomach lining ,some of them may be malignant. ? duodenal ulcer : most often seen in first portion of duodenum . ? GU DU PUD Demographics （流行病学） ? Lifetime prevalence is ~10%. The incidence of duodenal is 4 times as common as gastric ulcer ? most common in middle age ? ? peak 30-50 years ? Male to female ratio — 4:1 Etiology （病因学） Helicobacter pylori （ HP ） ? nonsteriodal anti-inflammatory drugs (NSAID ） ? Acid and pepsin ? Others ? disease characteristics Chronic process periodical attack Rhythmic abdominal pain main symptom (1)abdominal pain ： the classic symptom of PUD. Pain —‖gnawing‖, ―aching‖, o r ―burning‖―hungerlike‖ （钝痛、胀痛、灼痛或饥饿痛） (2)rhythmicity: GU Eating- pain-relief DU pain-eating-relief (3)cyclicity ： Attack more in autumn or winter Pain characteristics of peptic ulcer gastric ulcer duodenal ulcer occurs 3-4 hours after a meal and may awaken patient from sleep. time position occurs 0.5~1 hour after a meal and relief until next meal,may not awaken patient from sleep. median or left of Subxiphoid Midline or right of epigastric nature rule burning pain or crampy pain hungerlike pain or burning pain Eating- pain-relief pain-eating-relief Clinical manifestation ? Other symptoms of digestive system ： ? Nausea, vomiting, belching, dyspepsia, bloating, chest discomfort, anorexia may also occur. Clinical manifestati