病理生理學(xué)第十七章胃腸功能障礙

1、A 43 year old female presents to the ED with cc of “burning pain” in her abdomen for one month. She notes the pain is intermittent, not-positional, worst 3 hours after a meal, and is mitigated immediately after a meal.

2、Her pain is worse at night (particularly between 11 pm and 2 am) and prevents her from “sleeping well”. She also notes mild nausea, no vomiting. Her BMs are daily and “normal.” She sees no blood / melana PR.,概述（Introduc

3、tion）,第一節(jié) 胃腸動(dòng)力障礙 Gastrointestinal motor disorders,胃腸動(dòng)力障礙 各種病因引起原發(fā)或繼發(fā)性胃腸神經(jīng)，體液及肌細(xì)胞受損后使胃腸道平滑肌細(xì)胞運(yùn)動(dòng)功能發(fā)生障礙的病理過程。 可表現(xiàn)為：運(yùn)動(dòng)加快和減緩,2、神經(jīng)源性因素,ENS，enteric nervous system由肌間神經(jīng)叢和黏膜下神經(jīng)叢組成。含有大量的感覺、整合和運(yùn)動(dòng)神經(jīng)元,第二節(jié)　吸收不良Malabsorpti