文档介绍:胃肠功能障碍
(Gastrointestinal Insufficiency)
.
A 43 year old female presents to the ED with cc of “burning pain” in her abdomen for one month. She notes the pain is intermittent, not-positional, worst 3 hours after a meal, and is mitigated immediately after a meal.
Her pain is worse at night (particularly between 11 pm and 2 am) and prevents her from “sleeping well”. She also notes mild nausea, no vomiting. Her BMs are daily and “normal.” She sees no blood / melana PR.
嗝逆,反酸,恶心
食欲不振
便秘
胃胀,腹胀,烧心
2、为什么会有这些症状和体征
1、这是哪个系统的表现
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?
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胃胀腹胀烧心
嗝逆反酸恶心
食欲不振便秘
组成
Gastro-intestinal tracts
概述(Introduction)
功能
Digestion
Absorption
Evacuation
体内最大的细菌库
多种病因所致胃肠道的功能性与器质性疾病伴有多种消化道症状和体征。
胃肠功能不全
亿
发病率高
就诊病人- 冰山一角
25%
就诊率
75%
未就诊
率
70 %
女性
30%
男性
专家门诊
初步诊疗
类型
胃肠动力障碍
(Gastrointestinal motor disorders )
吸收不良
(Malabsorption)
屏障功能障碍
(Gut barrier dysfunction)
第一节 胃肠动力障碍
Gastrointestinal motor disorders