体征 ●上腹部固定而局限的压痛点。 ●胃区振水音 上腹部包块
体征 ⚫ 上腹部固定而局限的压痛点。 ⚫ 胃区振水音 ⚫ 上腹部包块
Examination o The patient characteristically puts his hand over the upper abdomen or may point to the epigastrium with a forefinger when asked where the pain is and this is the point of maximum tenderness The presence of an epigastric mass suggests a gastric carcinoma. A gastric splash(or succussion) indicates pyloric obstruction due to benign duodenal stricture or to carcinoma of the pyloric antrum
Examination ⚫ The patient characteristically puts his hand over the upper abdomen or may point to the epigastrium with a forefinger when asked where the pain is and this is the point of maximum tenderness. The presence of an epigastric mass suggests a gastric carcinoma. A gastric splash (or succussion) indicates pyloric obstruction due to benign duodenal stricture or to carcinoma of the pyloric antrum
特殊类型的消化性溃疡 复合性溃疡 二、幽门管溃疡 三、球后溃疡≠球后壁溃疡 四、巨大溃疡 五、老年性消化性溃疡:位于胃体上部的 高位溃疡较多见。 六、无症状性溃疡:老年人多见(约15%)
特殊类型的消化性溃疡 一、复合性溃疡 二、幽门管溃疡 三、球后溃疡≠球后壁溃疡 四、巨大溃疡 五、老年性消化性溃疡：位于胃体上部的 高位溃疡较多见。 六、无症状性溃疡：老年人多见（约15％）
perera 了天 1210A比