1、便血 hematochezia便潜血阳性 positive fecal occult blood test缺铁性贫血 iron deficiency anemia黄疸 jaundice间胆升高(高非结合胆红素血症) 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 as
2、cites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 gastroesophageal 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 Barrett sesophagus消化性食管狭窄 peptic es
3、ophageal stricture药 物 所 致 的食 管 损 伤 medication-induced esophageal injury/pill-inducedesophagitis嗜酸细胞性食管炎 eosinophilic esophagitis贲门黏膜撕裂 Mallory-Weiss syndrome自发性食管破裂 Boerhaave s 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 esophagit
4、is食管鳞癌 esophageal squamous cell carcinoma食管腺癌 esophageal adenocarcinoma食管乳头状瘤 esophageal papilloma食管平滑肌瘤 esophageal leiomyoma食管脂肪瘤 esophageal lipoma食管静脉曲张 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 chron
5、ic 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 gastritisM n trier病 M trier sdisease门脉高压性胃病 portal hypertensive gastropathy胃底静脉曲张 gastric v
6、arices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 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 hemorrhage IIa 血管显露 visible ves
7、selIIb 血栓附着 adherent clotIIc 平坦的色素沉着 flat pigmentationIII 级 干净的溃疡底部 clean-base ulcers Dieulafoy 病变 Dieulafoy slesion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
8、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
9、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 volvulus四、小肠和大肠美克尔憩室 Meckel sdiverticulum慢性小肠假性梗阻 chronic small intestinal pseudoobstruction 小肠细菌过度生长 small intestinal bacterial overgrowth短肠综合征 short bowel syndrome乳糜泻 celiac disease吸收不良 malabsorptionWhipple 病
10、Whipple sdisease蛋白丢失性胃肠病 protein-losing gastroenteropathy抗生素相关腹泻 antibiotic-associated diarrhea伪膜性肠炎 pseudomembranous enterocolitis难辨梭菌感染 Clostridium difficileinfection炎症性肠病 inflammatory bowel disease克罗恩病 Crohn sdisease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 loca
11、lization (L)末端回肠 terminal ileum ( L1)结肠 colon (L2 )回结肠 ileocolon (L3 )上消化道 upper gastrointestinal(L4)临床行为 behavior ( B)非狭窄非穿透型 nonstricturingnonpenetrating(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
12、of disease直肠炎型 proctitis左半结肠炎型 left-sided colitis广泛结肠炎型 extensive colitis急性肠系膜缺血 acute mesenteric ischemia肠系膜上动脉栓塞 superior mesenteric artery embolus急性肠系膜上动脉血栓形成 acute thrombosis of superior mesenteric artery 非闭塞性肠系膜缺血 nonocclusive mesenteric ischemia 肠系膜静脉血栓形成 mesenteric venous thrombosis局灶节段性小肠缺血
13、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 Beh?et sdisease过敏性紫癜 Henoch- Sch?nlein purpura阑尾炎 appendicitis结肠憩室 colonic diverticulum结肠憩室病 diverticular disease of the colon憩室炎 diverticulitis憩室出血 diverticular hemorrhage肠易激综合征 irritable bowel syndrome肠梗阻
14、 intestinal obstruction小肠梗阻 small bowel obstruction结肠梗阻 colonic obstruction麻痹性肠梗阻 ileus假性肠梗阻 pseudo-obstruction巨结肠 megacolon结肠息肉 colonic polyp管状腺瘤 tubular adenoma绒毛状腺瘤 villous adenoma绒毛管状腺瘤 tubulovillous adenoma原位癌 carcinoma in situ黏膜内癌 intramucosal carcinoma侧向发育型肿瘤 lateral (laterally ) spreading tu
15、mor (LST )锯齿状息肉 serrated polyp增生(化生)性息肉 hyperplastic polyp幼年性息肉 juvenile polypP-J 息肉 Peutz-Jeghers polyp炎性息肉 Inflammatory polyp家族性腺瘤息肉病 familial adenomatous polyposis (FAP )错构瘤性息肉病 hamartomatouspolyposisP-J 综合征 Peutz-Jeghers syndrome幼年性息肉病 Juvenile polyposis Cronkhite-Canada 综合征 Cronkhite-Canada syn
16、drome 结直肠癌 colorectal cancer早期结肠癌 early colonic caner进展期结肠癌 advanced colonic cancer痔 hemorrhoids内痔 internal hemorrhoids外痔 external hemorrhoids肛裂 anal fissure肛周脓肿 perianal abscess肛瘘 fistula-in-ano/ anorectal fistula结肠血管扩张 angioectasia of the colon遗 传 学 毛 细 血 管 扩 张 症 hereditary hemorrhagic telangiecta
17、sia(Osler-Weber-Rendudisease)五、胰腺急性胰腺炎 acute pancreatitis胆源性胰腺炎 gallstone pancreatitis酒精性胰腺炎 Alcohol-induced pancreatitis轻症 mild中重症 moderately severe重症 severe间质水肿性胰腺炎 interstitial oedematous pancreatitis坏死性胰腺炎 necrotising pancreatitis急性胰周液体积聚 acute peripancreatic fluid collection胰腺假性囊肿 pancreatic ps
18、eudocyst急性坏死性积聚 acute necrotic collection (ANC )包裹性坏死 walled-off necrosis ( WON )感染性坏死 infected necrosis(APFC )复发性胰腺炎 recurrent pancreatitis慢性胰腺炎 chronic pancreatitis自身免疫性胰腺炎 autoimmune pancreatitisIgG4 相关性疾病 IgG4-related disease胰管扩张 pancreatic duct dilation胰腺囊性病变 cystic lesions of the pancreas导管内乳头
19、状粘液瘤 intraductal papillary mucinous neoplasm浆液性囊腺瘤 serous cystic neoplasm粘液性囊腺瘤 mucinous cystic neoplasm实性假乳头状瘤 solid pseudopapillary tumor胰腺分裂 pancreas divisum胰腺癌 pancreatic cancer壶腹癌 carcinoma of ampulla of vater(IPMN )六、胆道Oddi 括约肌功能障碍 sphincter of Oddi dysfunction (SOD )胆石症 gallstone disease胆绞痛 b
20、iliary pain急性胆囊炎 acute cholecystitis慢性胆囊炎 chronic cholecystitis胆总管结石 choledocholithiasis胆管炎 cholangitis化脓性胆管炎 suppurative cholangitisMirizzi 综合征 Mirizzi ssyndrome胆管恶性梗阻 malignant biliary stricture胆管癌 cholangiocarcinoma胆囊癌 gallbladder carcinoma不明原因的胆管狭窄 indeterminate biliary stricture 胆管良性狭窄 benign b
21、iliary strictures 硬化性胆管炎 sclerosing cholangitis原发性硬化性胆管炎 primary sclerosing cholangitis七、肝脏肝硬化 cirrhosis门脉高压 portal hypertension血色病 hemochromatosis肝豆状核变性 Wilson disease病毒性肝炎 viral hepatitis甲型肝炎 hepatitis A乙型肝炎 hepatitis B丙型肝炎 hepatitis C丁型肝炎 hepatitis D戊型肝炎 hepatitis E药物学肝损害 drug-induced liver injur
22、y肝脓肿 liver abscess布加综合征 Budd-Chiari syndrome门静脉血栓 portal vein thrombosis肝小静脉闭塞症 hepatic veno-occlusive disease缺血性肝炎 ischemic hepatitis酒精性肝病 alcoholic liver disease酒精性肝炎 alcoholic hepatitis酒精性肝硬化 alcoholic cirrhosis非酒精性脂肪性肝病 nonalcoholic fatty liver disease 自身免疫性肝炎 autoimmune hepatitis原发性胆汁性肝硬化 prima
23、ry bililary cirrhosis自发性细菌性腹膜炎 spontaneous bacterial peritonitis 肝性脑病 hepatic encephalopathy肝肾综合征 hepatorenal syndrome肝肺综合征 hepatopulmonary syndrome急性肝衰竭 acute liver failure肝细胞癌 hepatocellular carcinoma肝内胆管癌 intrahepatic cholangiocarcinoma肝囊肿 hepatic cysts海绵状血管瘤 cavernous hemangioma八、解剖及内镜术语胃窦 antru
24、m胃体 body贲门 cardia胃底 fundus十二指肠 duodenum肛门 anus直肠 rectum乙状结肠 sigmoid colon降结肠 descending colon横结肠 transverse colon肝曲 hepatic flexure升结肠 ascending colon盲肠 cecum空肠 jejunum回肠 ileum末端回肠 terminal ileum内镜下静脉曲张套扎术 endoscopic variceal ligation 内镜下静脉曲张硬化治疗 endoscopic sclerotherapy 组织胶治疗 cyanoacrylate injectio
25、n therapy 注射治疗 injection therapy内镜下黏膜切除术 endoscopic mucosal resection (EMR )内镜黏膜下剥离术 endoscopic submucosal dissection (ESD )息肉切除术 polypectomy内镜下扩张和支架置入术 endoscopic dilation and stenting (stent placement )经皮内镜下胃造瘘术 percutaneous endoscopic gastrostomy ( PEG )经口内镜下肌切开术 peroral endoscopic myotomy (POEM )超声内镜 endoscopic ultrasound ( EUS )内镜 下逆 行胰 胆管 造 影 endoscopic retrograde cholangiopancreatography( ERCP )胶囊内镜 capsule endoscopy双气囊小肠镜 double-balloon endoscopeV1.0 王晔 2017.2.1
copyright@ 2008-2022 冰豆网网站版权所有
经营许可证编号:鄂ICP备2022015515号-1