消化性溃疡英文修改版 课件.ppt

少见原因引起的颅内静脉窦血栓形成课件突发心跳呼吸骤停抢救应急演练课件小学英语教学法英语教学原则阻滞剂在减低非心脏手术 Peptic Ulcer disease(PUD) by Kelly minyi xu from Guangzhou Medical University Learning Objectives To master the cause of peptic ulcer clinical manifestations and complications; Be familiar with the key points of the pathogenesis and treatment of peptic ulcer; To master the peptic ulcer nursing intervention and health education; Definition A circumscribed ulceration of the gastrointestinal mucosa occurring in areas exposed to acid and pepsin and most often caused by Helicobacter pylori infection. (Uphold Graham, 2003) Peptic Ulcers: Gastric Dudodenal Peptic Ulcers: Gastric Duodenal gastric ulcer : the ulcer that occurs in the stomach lining ,some of them may be malignant. duodenal ulcer : most often seen in first portion of duodenum . GU DU PUD Demographics （流行病学） Lifetime prevalence is ~10%. The incidence of duodenal is 4 times as common as gastric ulcer most common in middle age peak 30-50 years Male to female ratio—4:1 Etiology（病因学） Helicobacter pylori（HP） nonsteriodal anti-inflammatory drugs (NSAID） Acid and pepsin Others disease characteristics Chronic process periodical attack Rhythmic abdominal pain 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 DU pain-eating-relief (3)cyclicity：Attack more in autumn or winter gastric ulcer duodenal ulcer time position nature rule occurs 0.5~1 hour after a meal and relief until next meal,may not awaken patient from sleep. median or left of Subxiphoid burning pain or crampy pain Eating- pain-relief occurs 3-4 hours after a meal and may awaken patient from sleep. Midline or right of epigastric hungerlike pain or burning pain pain-eating-relief Pain characteristics of peptic ulcer Clinical manifes