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胃肠道出血 – 译学馆
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胃肠道出血

Gastrointestinal Bleeding – Gastrointestinal Pathology | Medical Video

本节 我们将来看一下胃部以及十二指肠的疾病
In this section, we’ll take a look at gastrointestinal disease of the stomache and the duodenum.
首先来看一下胃肠道出血
Begin by looking at the GI bleeding,
胃肠道出血的形式以及它的临床意义
forms of GI bleeding, and what it means to you clinically.
如果出现呕血 那么你要考虑到是吐血
If there’s a hematemesis, well, you are thinking about vomiting up of blood
通常预示近端至屈氏韧带的出血
and usually indicates bleeding proximal to the ligament of Treitz.
屈氏韧带把
The ligament of Treitz is dividing
消化系统分为上消化道
your GS system into a proximal
和下消化道
and a distant portion
在十二指肠和空肠之间有一条线 严格来说
and there’s a line between the duodenum and jejunum, so technically speaking
在这里你会发现有出血 近端至屈氏韧带间(的出血)导致呕血
that in which you find bleeding that’s taking place, proximal to the treitz may result in Hematemesis.
黑粪症
Melena
黑粪症意味着血液被排进粪便里有充足的时间
Melena to you should mean that there’s enough time of the blood to descend into the feces.
所以当粪便被排出
And so therefore by the time the feces then evacuated.
出现黑便和褐色便
The stool then appears being black and tarry.
所以 对于大部分肠道来说
Therefore, for the most port though.
黑粪症预示上消化道出血 但严格地说
Melena should indicate upper GI bleeding, but technically speaking
它可以发生在消化道的任何部位
It can occur anywhere from the GI tract. Anywhere.
然而 如果有便血 它会是鲜亮的红色
However, if it is a Hematochezia. Then this would be bright red.
这表明出血在末梢处
And this to you should indicate the bleeding is quite distal.
结肠尤其如此 举个例
More so, in the colon. Given us an example such as

Haemorrhoids
痔疮时会出现出血
In which sometimes you have bleeding that takes place and coats.
粪便会是鲜红色
The stool was being frank or bright red.
或者
Or things of…
结肠癌 尤其是结直肠癌
things of colon cancer type, especially colorectal cancer
粪便中也会出现鲜红色
in which here also the stool might then appears being bright red.

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视频概述

胃肠道分为上消化道和下消化道,如果出现呕血与便血,那么上下会有相应的出血

听录译者

MED狮

翻译译者

小太阳

审核员

WeiRan

视频来源

https://www.youtube.com/watch?v=v-BaIpKBALE

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