消化性溃疡英文培训课件.ppt
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- 消化 性溃疡 英文 培训 课件
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1、消化性溃疡英文消化性溃疡英文Learning Objectives To master the cause of peptic ulcer To master the cause of peptic ulcer clinical manifestations and complications;clinical manifestations and complications;Be f Be familiar with the key points of the amiliar with the key points of the pathogenesis and treatment of p
2、eptic ulcer;pathogenesis and treatment of peptic ulcer;To m To master the peptic ulcer nursing aster the peptic ulcer nursing intervention and health education;intervention and health education;2消化性溃疡英文Definition A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to
3、 acid and pepsin and most often caused by Helicobacter pylori infection.(Uphold&Graham,2003)3消化性溃疡英文Peptic Ulcers:Gastric&Dudodenal4消化性溃疡英文Peptic Ulcers:Gastric&Duodenalngastric ulcer:the ulcer that occurs in the stomach lining,some of them may be malignant.nduodenal ulcer:most often seen in first p
4、ortion of duodenum.5消化性溃疡英文GU6消化性溃疡英文DU7消化性溃疡英文8消化性溃疡英文PUD Demographics(流行病学)nLifetime prevalence is 10%.nThe incidence of duodenal is 4 times as common as gastric ulcernmost common in middle age peak 30-50 yearsnMale to female ratio4:1 9消化性溃疡英文Etiology(病因学)nHelicobacter pylori(HP)nnonsteriodal anti
5、-inflammatory drugs(NSAID)nAcid and pepsinnOthers 10消化性溃疡英文disease characteristicsChronic processperiodical attackRhythmic abdominal pain11消化性溃疡英文main symptom(1)abdominal pain:the classic symptom of PUD.Pain”gnawing”,“aching”,or“burning”“hungerlike”(钝痛、胀痛、灼痛或饥饿痛)(2)rhythmicity:GU Eating-pain-relief
6、DU pain-eating-relief(3)cyclicity:Attack more in autumn or winter 12消化性溃疡英文gastric ulcerduodenal ulcertimepositionnature ruleoccurs 0.51 hour after a meal and relief until next meal,may not awaken patient from sleep.median or left of Subxiphoidburning pain or crampy painEating-pain-reliefoccurs 3-4
7、hours after a meal and may awaken patient from sleep.Midline or right of epigastrichungerlike pain or burning painpain-eating-reliefPain characteristics of peptic ulcer13消化性溃疡英文Clinical manifestationnOther symptoms of digestive system:Nausea,vomiting,belching,dyspepsia,bloating,chest discomfort,anor
8、exia may also occur.14消化性溃疡英文Clinical manifestationnsign Epigastric tenderness15消化性溃疡英文Hemorrhage:hematemesis,black or tarry stools 17消化性溃疡英文Gastric carinomauGU 1%can become cancerous GU 1%can become cancerous uA chronic,GU history A chronic,GU history u45 years of age or older 45 years of age or ol
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