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广泛烧伤引起的胃和十二指肠溃疡,称做Cur-ling溃疡(1842年),其常见的征象是胃肠道出血(占64％),呕血比黑粪多2.3倍,43％有大出血或休克,9％有腹胀(多由脓毒症引起),12％发生穿孔。腹痛不常见,仅占4％。 Curling溃疡的特征:(一)溃疡多发,园形,直径小于2cm。(二)病变浅表,仅侵及粘膜,偶尔穿入肌层。(三)溃疡分界明显,边缘伴有少量炎性反应或水肿。(四)溃疡主要位于胃底部粘膜,但胃窦
Gastric and duodenal ulcers caused by a wide range of burns, called Cur-ling ulcers (1842), are common signs of gastrointestinal bleeding (64%), vomiting 2.3 times more than black dung, and 43% having massive bleeding Or shock, 9% had bloating (mostly caused by sepsis) and 12% perforation occurred. Abdominal pain is uncommon, only 4%. Curling ulcer features: (a) ulcer multiple, park-shaped, diameter less than 2cm. (B) of the superficial lesions, only invasion of the mucosa, and occasionally penetrate the muscular layer. (C) ulcer clear boundaries, the edge accompanied by a small amount of inflammatory reaction or edema. (D) ulcer is mainly located in the bottom of the gastric mucosa, but the antrum