28 cases the cause of upper gastrointestinal bleed

e707004304 · Wysłany: Nie 19:43, 20 Mar 2011

28 cases the cause of upper gastrointestinal bleeding

Obviously not, men were significantly more than women, from the age group 35-45 years of age with a high incidence of view. Fatigue, eating fire, are all transferred into the induced bleeding Gang, but in the final analysis, the results of vascular erosion ulcer disease. Bleeding may come from the divination aspects: ① ulcer base vascular rupture. Department of induration if the original pieces of chronic ulcers, accompanied by a large scar tissue and hardening of blood vessels enough, the lack of contractile force, then I stop the bleeding very difficult clinically. ② ulcer base granulation tissue of vascular rupture. ③ ulcers week congestive gate small blood vessels rupture. T swollen digestive tract digestive tract bleeding associated with worse, most of them are enough to keep the formation of tumor f ulcers. Prolapse of gastric mucosa associated with} two gastrointestinal bleeding, bite can be enough to prolapse of gastric mucosa is not caused by one or pyloric obstruction finished one, resulting in poor circulation, fjl from the decay of the gastric mucosa and ulcer formation,[link widoczny dla zalogowanych], resulting in bleeding. In short,[link widoczny dla zalogowanych], the flower formation and development of ulcers [f】, vascular erosion is inevitable. 2.1 The reasons for bleeding cirrhotic liver cirrhosis, decompensated liver or large light or heavy all damage, dysfunction of protein synthesis, can cause a lack of clotting compound, on the other hand combined with the function of the spleen caused by hyperthyroidism thrombocytopenia related. Decompensated cirrhosis, the portal vein high pressure, resulting in gastric and esophageal variceal bleeding caused by, often large and difficult to stop, and easy to endanger the patient's life. 2.2 Cerebrovascular disease Cerebrovascular disease gastrointestinal bleeding caused by the original as follows: ① damage to the hypothalamus: ② Gastric rupture of superficial blood vessels to dilate; ③ increased vascular exudative: ④ stress ulcer, and even acute perforation and bleeding, But the majority of mucosal erosion. Small pieces} H fusion of blood can sometimes be flaky National Cheng Kung University. Of severe damage to the hypothalamus F who have recurrent vomiting and more clinical L-shaped stomach contents a lot of coffee, this is due to stomach the results of vascular disorders of sports nutrition. Cerebral hemorrhage and gastrointestinal bleeding are very serious result, some patients with cerebral hemorrhage,[link widoczny dla zalogowanych], first, lower blood pressure F, then after 56h only tarry stools, so patients with cerebral hemorrhage changes in blood pressure should be closely observed, and pay attention to the gastrointestinal tract the possibility of bleeding. 2.3 of heart disease because of upper gastrointestinal bleeding in various types of heart disease, especially in patients with pulmonary heart disease, gastrointestinal bleeding or concurrent DIC occurs in heart failure, its cause may be the gastrointestinal microcirculation clotting and institutional obstacles. In heart disease because of school, according to the clinical observation, heart disease, pulmonary heart disease more than other upper gastrointestinal hemorrhage,[link widoczny dla zalogowanych], which is obviously more important relationship hypoxia. (Edit Xiao-Bing Zhang) paid scaphoid and scaphoid fractures in the differential diagnosis of Radiology, Second Affiliated Hospital of Fujian Longhai 363l02 Pursuing [Article ID] l562-9023 (2002) 11005302 In a clinical radiology: 【made, we can often see pay scaphoid. Scaphoid pay the presence of about 4-5% normal, if not familiar with the variation of normal human bone seed, especially with pain or ankle injury cases, often prone to misdiagnosis, the most common scaphoid fracture with the foot confused. Zhou, also known as separation pay the scaphoid bone, extra navicular, tibia bone outside the boat, or with six toes. Located in front of the talus, which is two in front of the medial cuneiform bone with it side by side, in the middle, lateral cuneiform bone. Means the scaphoid tubercle and posterior medial side by side with them there is a small bone in terms of the subsidiary, but some performance such as the extension of navicular bone itself rather than other real scaphoid type II general are bilaterally symmetrical, Vice-only education may also side bone, two points above the sesamoid bone cortex have their smooth, with irregular fracture lines are different. The fusion of ossification centers do not have any symptoms, some do not, but some can be a pain. But simply to non-clinical treatment of traumatic pain is relatively rare cases. This pain can be persistent,[link widoczny dla zalogowanych], or even casting or other conservative treatments have failed to eliminate, it is often mistaken for nodules, Department of scaphoid fractures. Separation pay scaphoid bone that causes pain because the following points: ① exception of the small fragment of the tendon there is a continuing stimulus compression and posterior tibial tendon arising from slip desert traumatic inflammation. ② pay medium or large bone to push the boat after tibial tendon to make the shift and the resulting change in direction of tendon traction. ③ The changes have led to the formation of a foot in the activity of the mechanical action is not correct to pain. ④ bursitis often occurs in this region is also caused due to mechanical stimulation. ⑤ often occur secondary to soft tissue infections. The formation of a boat above the pain of bone nodule area was significantly tenderness and other characteristics, often associated with local flushing and swelling. Pay the scaphoid and scaphoid fractures in the differential diagnosis: ① independence scaphoid fracture rare, if there were several other bones associated with foot fracture. ② fracture line is very sharp and irregular or jagged, the surrounding cortical bone fracture. ③ separation between the two bones may be too far to track