- A1 ulcer : Ia - IIc- A2 ulcer : III
- Active bleeding :
- 3月 09 週五 201822:38
Forrest classification for Upper gastrointestinal hemorrhage
- A1 ulcer : Ia - IIc- A2 ulcer : III
- Active bleeding :
- 3月 06 週二 201822:56
Esophageal varices (EV) bleeding 食道靜脈瘤出血
- 4月 23 週日 201709:58
Lower GI bleeding ( LGIB )
Acute severe LGIB :Diverticulosis
Angioectasia
Postpolypectomy bleeding
Ischemic colitis
- 3月 01 週二 201608:55
Upper GI bleeding
上下消化道出血解剖上以 Treitz ligament 為分界
* Symptoms :
- 2月 23 週二 201609:55
Peptic ulcer
Cause : 是攻擊因子和防守因子的動態平衡被打破H.p infection
ASA, NSAID use
Hypersecretory state : gastrinoma
Malignancy : 佔10% ulcer
Others : Smoking, alcohol.....
Stress ulcer : 任何stress, 常見於 ICU, 基本原理就是 GI blood supply不足 mucosal damage
Cushing ulcer : IICP
Curling ulcer : burn
--> reduced plasma volume
--> ischemia and necrosis of GI mucosa
1
CV (7)