1、消化不良 dyspepsia功能性消化不良 functional dyspepsia恶心 nausea呕吐 vomiting腹泻 diarrhea渗透性腹泻 osmotic diarrhea分泌性腹泻 secretory diarrhea炎性腹泻 inflammatory diarrhea功能性腹泻 functional diarrhea水样泻 watery diarrhea脂肪泻 steatorrhea便秘 constipation消化道出血 gastrointestinal bleeding上消化道出血 upper gastrointestinal bleeding下消化道出血 lower
2、 gastrointestinal bleeding不明原因消化道出血 obscure gastrointestinal bleeding隐匿性消化道出血 occult gastrointestinal bleeding呕血 hematemesis呕咖啡样物 coffee-ground emesis黑便 melena便血(bin xi) hematochezia便潜血(qinxu)阳性 positive fecal occult blood test缺铁性贫血(p) iron deficiency anemia黄疸(hungdn) jaundice间胆升高(shn o)(高非结合胆红素血症)
3、unconjugated hyperbilirubinemia直胆升高(高结合胆红素血症)conjugated hyperbilirubinemia胆汁淤积 cholestasis肝内胆汁淤积 intrahepatic cholestasis肝外胆汁淤积 extrahepatic cholestasis肝功能异常 abnormal liver chemistries腹水 ascites肝占位 liver mass消瘦 weight loss二、食管疾病贲门失弛缓 achalasia远端食管痉挛 distal esophageal spasm(DES)胃食管反流病 gastroesophagea
4、l reflux disease(GERD)食管裂孔疝 hiatal hernia反流性食管炎/糜烂性食管炎 reflux esophagitis/erosive esophagitis非糜烂性胃食管反流病 nonerosive reflux disease(NERD)Barrett食管 Barretts esophagus消化性食管狭窄 peptic esophageal stricture药物所致的食管损伤 medication-induced esophageal injury/pill-induced esophagitis嗜酸细胞性食管炎 eosinophilic esophagit
5、is贲门黏膜撕裂 Mallory-Weiss syndrome自发性食管破裂 Boerhaaves syndrome自发性食管血肿 spontaneous esophageal hematoma真菌性食管炎 fungal esophagitis念珠菌性食管炎 candidal esophagitis病毒性食管炎 viral esophagitis食管鳞癌 esophageal squamous cell carcinoma食管(shgun)腺癌 esophageal adenocarcinomagun)乳头状瘤 esophageal papillomagun)平滑肌瘤 esophageal l
6、eiomyomagun)脂肪瘤 esophageal lipomagun)静脉曲张 esophageal varices三、胃和十二指肠疾病胃轻瘫 gastroparesis幽门螺杆菌感染 helicobacter pylori infection胃炎 gastritis慢性浅表性胃炎 chronic superficial gastritis慢性非萎缩性胃炎 chronic non-atrophic gastritis慢性萎缩性胃炎 chronic atrophic gastritis自身免疫性萎缩性胃炎 autoimmune metaplastic atrophic gastritis肠化
7、生 intestinal metaplasia异型增生 dysplasia嗜酸细胞性胃肠炎 eosinophilic gastroenteritis急性糜烂性胃炎 acute erosive gastritisMntrier 病 Mtriers disease门脉高压性胃病 portal hypertensive gastropathy胃底静脉曲张 gastric varices胃石 gastric bezoar消化性溃疡病 peptic ulcer disease胃溃疡 gastric ulcer十二指肠溃疡 duodenal ulcer难治性溃疡 refractory ulcer溃疡出血
8、ulcer bleedingForrest分级 Forrest ClassificationI级 活动出血 active bleedingIa 喷射样出血 spurting hemorrhageIb 渗血 oozing hemorrhageII级 有近期出血征象 stigmata of recent hemorrhageIIa 血管(xugun)显露 visible vesselIIb 血栓(xushun)附着 adherent clotIIc 平坦的色素(s s)沉着 flat pigmentationIII级 干净(gnjng)的溃疡底部 clean-base ulcersDieulafo
9、y病变(bngbin) Dieulafoys lesion穿孔 perforation胃出口梗阻(幽门梗阻) gastric outlet obstruction应激性溃疡 stress ulcers卓-艾综合征 Zollinger-Ellison syndrome胃息肉 gastric polyps胃底腺息肉 fundic gland polyps增生性息肉 Hyperplastic polyps腺瘤 adenoma炎性纤维性息肉 Inflammatory fibroid polyps胃腺癌 gastric adenocarcinoma早期胃癌 early gastric cancer进展期
10、胃癌 advanced gastric cancer鲍曼分型 Borrmann classification上皮下肿瘤 subepithelial tumor黏膜下肿瘤 submucosal tumor黏膜下病变 submucosal lesions胃肠道间质瘤 gastrointestinal stromal tumors神经内分泌肿瘤 neuroendocrine tumors类癌 carcinoid tumors淋巴瘤 lymphoma平滑肌瘤 leiomyoma脂肪瘤 lipoma异位胰腺 pancreatic rest(aberrant pancreas)胃扭转 gastric vo
11、lvulus四、小肠和大肠美克尔憩室 Meckels diverticulum慢性小肠(xiochng)假性梗阻 chronic small intestinal pseudoobstruction小肠(xiochng)细菌过度生长 small intestinal bacterial overgrowth短肠综合征 short bowel syndrome乳糜(rm)泻 celiac disease吸收(xshu)不良 malabsorptionWhipple病 Whipples disease蛋白(dnbi)丢失性胃肠病 protein-losing gastroenteropathy抗生
12、素相关腹泻 antibiotic-associated diarrhea伪膜性肠炎 pseudomembranous enterocolitis难辨梭菌感染 Clostridium difficile infection炎症性肠病 inflammatory bowel disease克罗恩病 Crohns disease蒙特利尔分类 Montreal classification发病年龄 age of onset (A)A1 16;A2 17-40;A3 40位置 localization(L)末端回肠 terminal ileum(L1)结肠 colon(L2)回结肠 ileocolon (
13、L3)上消化道 upper gastrointestinal (L4)临床行为 behavior(B)非狭窄非穿透型 nonstricturing nonpenetrating(B1)狭窄型 structuring穿透型 penetrating病情严重程度 disease severity缓解期 remission(S0)轻度 mild中度 moderate重度 severe溃疡性结肠炎 ulcerative colitis病变分布 distribution of disease直肠炎型 proctitis左半结肠炎型 left-sided colitis广泛(gungfn)结肠炎型 exte
14、nsive colitisng)肠系膜缺血 acute mesenteric ischemia肠系膜上动脉(dngmi)栓塞 superior mesenteric artery embolus急性肠系膜上动脉血栓(xushun)形成 acute thrombosis of superior mesenteric artery非闭塞性肠系膜缺血 nonocclusive mesenteric ischemia肠系膜静脉(ji)血栓形成 mesenteric venous thrombosis局灶节段性小肠缺血 focal segmental ischemia of the small intestine缺血性结肠炎 ischemic colitis结肠缺血colon ischemia白塞氏病 Behets disease过敏性紫癜 Henoch-Schnlein purpur
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