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应激性溃疡指应激状态下发生于胃窦部或十二指肠球部的单发或多发性溃疡而言,常侵及肌层,有穿孔倾向,愈合后留有疤痕。急性胃粘膜损伤指各种病因所致的急性胃粘膜广泛的浅表糜烂,出血或表浅溃疡而言,不侵及肌层,愈合后不留疤痕,累及胃体及胃底部为主,胃窦部常无病变。二者可统称为急性胃粘膜损害(AGML),以急性上消化道大出血为主要临床表现。如不能及时诊断与治疗常可贻误患者生命。
Stress ulcer refers to the stress state occurs in the antrum or duodenal bulb single or multiple ulcers, often invading the muscular layer, there is a tendency to perforation, leaving a scar after healing. Acute gastric mucosal injury refers to a variety of causes caused by a wide range of acute gastric mucosal superficial erosion, bleeding or superficial ulcers, does not invade the muscularis, healing without leaving scars, involving the stomach and stomach at the bottom of the main, Antral gastric often without disease. Both can be collectively referred to as acute gastric mucosal lesions (AGML), with acute upper gastrointestinal bleeding as the main clinical manifestations. If not timely diagnosis and treatment can often delaying the patient’s life.