問題詳情

93 關於腸道血管結構不良(angiodysplasia)的敘述,何者錯誤?
(A)好發年紀為 60 幾歲
(B)常見部位為盲腸(cecum)及右結腸
(C)在腸黏膜下層可見許多擴張的小血管
(D)有血管內皮細胞異生

參考答案

答案:D
難度:非常困難0.111111
統計:A(2),B(3),C(2),D(1),E(0)

用户評論

Chris】評論

 Angiodysplasia2 nd  MCC Hematochezia, with diverticulosis being #1.  It’s in the cecum b/c law of Laplace (wall stress and radius). The diameter of the cecum is bigger than any other part of the colon.  B/c the diameter is greater, the wall stress is greater.  Therefore, putting stress on the vessels in the wall of the cecum, it actually pulls them apart and produces telangiectasias.  As a result, it predisposes to angiodysplasia b/c increased wall stress.  If one of them ruptures to the surface, you can end up with significant bleed.   A very common cause of Hematochezia in older pe...