第九章消化系统疾病
第九章 消化系统疾病
食道结构及非肿瘤性疾病TracheaZenker diverticulumTracheo-esophagealfistulaTractiondiverticulumWeb(Plummer-Vinsonsyndrome)StrictureSclerodermaReflux esophagitisBarrettesophagusWeisssyndrome(laceration)(gastricepithelium)DiaphragmVaricesStomachAcidNon-neoplasticdisordersoftheesophagus
食道结构及非肿瘤性疾病
IncreasedvagalactivityGASTRICFACTORS(2psychologicalfactors)DUODENALFACTORS胃Parietal ceihyperplasia、十二指肠结构及溃疡病病因ARGastricWWIncreasedH.PyloriglandsHCISensitivityofmucosato acid injuryIncreasedsensitivitofparietalcellstostimulatorsofHCIDecreasedmucosalsecretion (e.gHCOgsecretiongastrin,histanineRapid gastricemptyingPEPTICULCEAHyperacidificationofduodenalbulbDecreasedretrogrademotilityimpairsnnneutralization byPancreaticpancreaticalkalinesecretionssecretionsGastric and duodenal factors in thepathogenesis of duodenal peptic ulcers
胃、十二指肠结构及溃疡病病因
第一节胃的疾病胃炎(gastritis)、多发常见、多胃粘膜的炎症性病变急性胃炎：原因较清楚，嗜中性粒细胞浸润慢性胃炎：自身免疫、胆汁返流、急性迁延，幽门螺杆菌
一、胃炎(gastritis) 胃粘膜的炎症性病变 常见、多发 ◆急性胃炎：原因较清楚，嗜中性粒细 胞浸润 ◆慢性胃炎：自身免疫、胆汁返流、急 性迁延，幽门螺杆菌 第一节 胃的疾病
(一)急性胃炎(acutegastritis)依据病因、胃粘膜病变分型1.急性刺激性胃炎(acute irritated gastritis)1)病因：多暴饮暴食2）病变：胃粘膜充血、水肿、粘液分泌升高、有时糜烂
（一）急性胃炎(acute gastritis) 依据病因、胃粘膜病变分型 1.急性刺激性胃炎 (acute irritated gastritis) 1）病因：多暴饮暴食 2）病变：胃粘膜充血、水肿、粘液 分泌升高、有时糜烂