急性胃炎 病因和发病机制 (四).血管因素 老年动脉硬化、腹腔动脉栓塞治疗后
（四）.血管因素 老年动脉硬化、腹腔动脉栓塞治疗后。 急性胃炎 病因和发病机制
急性胃炎 临床表现 1.消化不良:上腹部胀痛、胀满不适、食欲减退。 2.出血:呕血、黑便 3.贫血 4.体检:上腹部轻压痛 5急性化脓性胃炎: ①突发上腹痛、恶心、呕吐,且呕吐物呈脓性 或含坏死粘膜、发热 ②胃扩张、压痛、局部肌卫等腹膜炎征象
1.消化不良：上腹部胀痛、胀满不适、食欲减退。 2.出血：呕血、黑便 3.贫血 4.体检：上腹部轻压痛。 5.急性化脓性胃炎： ①突发上腹痛、恶心、呕吐，且呕吐物呈脓性 或含坏死粘膜、发热。 ②胃扩张、压痛、局部肌卫等腹膜炎征象。 急性胃炎 临床表现
Clinical features Nausea and vomiting are the most likely presenting symptoms, together with Indigestion Acute gastrointestinal if gastritis is severe ° Asymptomatic (2p109)
Clinical features • Nausea and vomiting are the most likely presenting symptoms,together with indigestion. • Acute gastrointestinal if gastritis is severe. • Asymptomatic. (2p109)
急性胃炎 诊断 1.询问病史:药物 2急诊胃镜检查:大出血后24-48小时内进行, 糜烂出血、粘膜水肿
1.询问病史：药物 2.急诊胃镜检查：大出血后24－48小时内进行， 糜烂出血、粘膜水肿 急性胃炎 诊 断
Diagnosis and investigation Often made on clinical grounds, e.g. History of non-steroidal anti-inflammatory drugs, heavy alcohol consumption, etc Endoscopy appearance can vary from superficial erosions to haemorrhage secondary to acute ulceration (2p109)
Diagnosis and investigation • Often made on clinical grounds, e.g. History of non-steroidal anti-inflammatory drugs,heavy alcohol consumption, etc. • Endoscopy appearance can vary from superficial erosions to haemorrhage secondary to acute ulceration . (2p109)