カーリング潰瘍
WordNet
- a game played on ice in which heavy stones with handles are slid toward a target
- a circumscribed inflammatory and often suppurating lesion on the skin or an internal mucous surface resulting in necrosis of tissue (同)ulceration
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- カーリング(氷上で石盤を滑らせて目標に当てるスコットランドの遊び)
- 潰瘍
Wikipedia preview
出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2013/04/03 10:51:05」(JST)
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Curling's ulcer |
Classification and external resources |
DiseasesDB |
3237 |
MeSH |
D004381 |
Curling's ulcer is an acute peptic ulcer of the duodenum resulting as a complication from severe burns when reduced plasma volume leads to ischemia and cell necrosis (sloughing) of the gastric mucosa. The condition was first described in 1823 and named for a doctor, Thomas Blizard Curling, who observed ten such patients in 1842.[1]
These stress ulcers were once a common complication of serious burns, presenting in over 10% of cases,[1] and especially common in child burn victims.[2] They result in perforation and hemorrhage more often than other forms of intestinal ulceration[3] and had correspondingly high mortality rates.[1]
A similar condition involving elevated intracranial pressure is known as Cushing's ulcer.
Treatment
While emergency surgery was once the only treatment, combination therapies including enteral feeding with powerful antacids such as H2-receptor antagonists or, more recently, proton pump inhibitors such as omeprazole have made Curling's ulcer a rare complication.[4]
References
- ^ a b c Pruitt, Basil A., Jr., F.D. Foley and John A. Moncrief (October 1970). "Curling's ulcer: a clinical-pathology study of 323 cases". Annals of Surgery 172 (4): 523–39. doi:10.1097/00000658-197010000-00001. PMC 1397279. PMID 5311720.
- ^ Bruck, H.M. and Basil A. Pruitt, Jr. (June 1972). "Curling's ulcer in children: a 12-year review of 63 cases". Journal of Trauma 12 (6): 490–6. doi:10.1097/00005373-197206000-00006. PMID 5033495.
- ^ Lev R; Klein, Martin S.; Ennis, Frank; Sherlock, Paul; Winawer, Sidney J. (December 1973). "Letter: Stress erosions". Am J Dig Dis 18 (12): 1099–100. doi:10.1007/BF01076530. PMID 4543410.
- ^ Moran KT, O'Reilly T, Munster AM (October 1987). "A combined regimen for the prophylaxis of Curling's ulcer". Am Surg 53 (10): 575–6. PMID 2890321.
UpToDate Contents
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English Journal
- [Primary antibiotic resistance of Helicobacter pylori strains and eradication rate according to gastroduodenal disease in Korea].
- Kim JY, Kim N, Park HK, Jo HJ, Shin CM, Lee SH, Park YS, Hwang JH, Kim JW, Jeong SH, Lee DH, Nam RH, Kim JM, Lee JH, Jung HC, Song IS.SourceDepartment of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea.
- The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi.Korean J Gastroenterol.2011 Dec;58(2):74-81.
- BACKGROUND/AIMS: This study was performed to evaluate whether the prevalence rates of primary antibiotic resistance in Helicobacter pylori (H. pylori) isolates and the eradication rate of H. pylori could be different between cancer and non-cancer patients.METHODS: H. pylori were isolated from gastri
- PMID 21873821
- Endoscopic injection of autologous blood for bleeding gastroduodenal ulcers.
- Schneider A, Schepp W.SourceDepartment of Gastroenterology, Hepatology, and Gastroenterological Oncology, Bogenhausen Academic Teaching Hospital, Klinikum Muenchen GmbH, Germany.
- Endoscopy.Endoscopy.2011 Oct 6. [Epub ahead of print]
- Endoscopic injection of diluted epinephrine and the application of endoclips or thermal probes are established endoscopic therapies for peptic ulcer bleeding (PUB). However, autologous blood may offer advantages at least over diluted epinephrine due to its specific properties: corpuscular components
- PMID 21979922
Japanese Journal
- 合併症対策 消化管合併症--上部消化管出血を中心に (特集 熱傷治療マニュアル) -- (広範囲熱傷の治療)
- 8.Curling's ulcer の治験例(第23回日本小児外科学会中国四国地方会)
- 藤井 正,戸谷 拓二,渡辺 泰宏,土岐 彰,植村 貞繁,小池 能宣,漆原 直人,白川 洋一
- 日本小児外科学会雑誌 22(1), 157-158, 1986-02-20
- NAID 110002097353
- Curling′s ulcer--小児熱傷における消化管合併症
Related Links
- Cur·ling's ulcer (kûr l ngz) n. An ulcer of the duodenum in a patient with extensive superficial burns or severe bodily injury. Curling's ulcer Etymology: Thomas B. Curling, English surgeon, 1811-1888 a duodenal ulcer that develops in ...
- ウィキペディアの英語版でCurling's ulcerという用語が挙げてありますが、そこでは、以下の意味で使われています。Curling's ulcer or a Curling ulcer is an acute peptic ulcer of the duodenum resulting as a complication from severe burns ...
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- 英
- Curling's ulcer, Curling ulcer
- 同
- Curling潰瘍
- 関
- 熱傷
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- 関
- arcuation、curvature、flexural、inflection、twist