【正文】
嘔血 hematemesis 消化道系統(tǒng) 定義: 嘔血 ( hematemesis) 是由上消化道疾病 ( 指屈氏韌帶以上的消化器官 , 包括食管 、 胃 、 十二指腸 、 肝 、 膽 、 胰疾病 ) 或全身性疾病所致的急性上消化道出血 , 血液從口腔嘔出 。 病因 : 食管靜脈曲張破裂 食管癌 食管異物 食管賁門粘膜撕裂 ( MalloryWeiss) : 消化性潰瘍 急性胃粘膜病變 胃癌 Esophageal varices grade II (right) und grade III (left). Cherry red spots are signs of imminent hemorrhage (right). They correspond to areas of especially thin and altered variceal wall. This massive vessel with active bleeding was diagnosed in a 58 year old patient, who presented with tary stools. The first picture shows the lesion after injection of fibrin glue. The right picture shows additionally applied hemoclips. Bleeding stopped at the end of the procedure, but re