嘔血與便血(中英文)課件

HematemesisandHematochezia嘔血和便血TheprofessionalstaffroomRainnyLinHematemesis嘔血Definition定義

Hematemesisisthevomitingofblood.血液從口腔嘔出。

※3、Hepatobiliarydiseases肝膽疾病Livercirrhosisandportalhypertension肝硬化門脈高壓、Livercancer肝癌、Liverabscess肝膿腫、Gallbladderandbileductstones膽囊與膽管結(jié)石等。4、Pancreaticdiseases胰腺疾病Pancreaticcancer胰腺癌、Acutepancreatitiscomplicatedwithabscess急性胰腺炎合并膿腫等。5、Acuteinfectiousdisease急性傳染病Severehepatitis重癥肝炎等。6、Blooddisease血液病白血病Leukemia、血小板減少性紫癜、過敏性紫癜、血友病等7、Others：Uremia尿毒癥、Pulmonaryheartdisease肺源性心臟病

Clinicalmanifestation臨床表現(xiàn)1、Hematemesisandmelena嘔血與黑便2、Hemorrhagicshock失血性休克※3、Fever發(fā)熱4、Hematologicalchanges血液學(xué)改變5、Azotemia氮質(zhì)血癥3、withmucocutaneous

bleeding嘔血伴皮膚黏膜出血血液病、敗血癥、Severehepatitis重癥肝炎等。4、withjaundice嘔血伴黃疸5、withenlargement

ofleftpraclavicularlymphnodes嘔血伴左鎖骨上淋巴結(jié)腫大Gastriccancer胃癌、胰腺癌等Hematochezia便血Pathogeny1.RectumandAnalcanaldiseases直腸與肛管疾病

Rectalcancer直腸癌、Rectalpolyps直腸息肉、hemorrhoids痔瘡、Analfissure肛裂等。2.Colonic

diseases結(jié)腸疾病

Coloncancer結(jié)腸癌、Colonicpolyps結(jié)腸息肉。3.Smallintestinaldiseases小腸疾病

Intestinaltuberculosis腸結(jié)核、Tumor腫瘤?！鵆linicalmanifestation

Thebleedingsite出血部位;

Theamountofbleeding出血量多少;

Thelengthofbloodstayintheintestinalcavity血液在腸腔內(nèi)停留時(shí)間長短.※1、Melena黑便Shiny,black,sticky,foul-smellingstool有光澤，黑色，黏稠，惡臭的糞便（1）degradationofblood退化的血（2）exogenousstooldarkeners外源性黑便Iron鐵劑

bismuth(鉍劑)

2.freshbloodystool鮮血便brightredormaroonbloodfromtherectum來在直腸的鮮紅色或褐紅色血

Pureblood純血

bloodintermixedwithformedstool血與糞便混合形成

bloodydiarrhea血性腹瀉3、Occult隱血

detectedonlybytestingthestoolwithamonoclonalantibodyforhumanhemoglobin只有與人的血紅蛋白單克隆抗體檢測糞便

Accompanyingsymptoms1、withabdominalpain便血伴腹痛2、Withtenesmushematochezia便血伴里急后重3、withabdominalmass便血伴腹部腫塊4、withfever便血伴發(fā)熱5、withmucocutaneousbleeding便血伴皮膚黏膜出血※Interrogationpoints

1.Isthereuncleanfood,medicationhistoryandthecollectivedisease?2.Theamountandcolourofhematochezia.Andtherelationshiptostool.

3.Thegeneralconditionofthepa