消化肝病前沿资讯
老龚_cn介绍消化肝病专业国内外前沿资讯，定期更新。适合关注和从事消化肝病领域的专业技术人员利用通勤和休闲时间收听。
| Publishes | Daily | Episodes | 99 | Founded | a month ago |
|---|---|---|---|---|---|
| Language |  ZH-CN | Number of Listeners | Categories | Health & FitnessLife SciencesScienceAlternative Health |
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Latest Episodes
本期聚焦2026版《重症患者应激性溃疡防治指南》，解析这一ICU“隐形杀手”的危害与应对。节目详解SRMD的概念、高危因素分类及量化风险，明确抑酸剂使用界限，推荐PPI与肠内营养作预防核心，并给出出血分级与阶梯化处理流程，涵盖药物、内镜、介入及手术方案，同时提示PPI的肾脏安全风险，助医护与公众掌握科学规范的诊疗路径。
00:06
指南背景与应激性溃疡危害
01:01
概念澄清与高危因素引入
02:01
基础疾病相关高危因素解析
02:43
凝血与休克风险数据解读
03:39
医源性治疗高危因素... more
本期播客聚焦大肠息肉切除术新突破，解析美国胃肠病学会大规模随机对照试验结果。研究对比冷圈套器与热圈套器在20毫米以上大息肉中的表现，揭示冷圈套术零穿孔但复发率更高的特性，并探讨依据息肉位置、患者风险因素及类型的个体化治疗方案，强调临床需权衡利弊而非“一刀切”，为患者与医生提供更科学决策参考。
00:06
新研究挑战传统热圈套术
00:59
冷圈套安全优但复发率高
01:51
依息肉位置灵活选术式
02:23
高风险患者宜选冷圈套
02:54
不同息肉类型术式有别
03:45
赞助不影响结果客观性... more
本期播客打破“阑尾炎一疼就切”的传统认知，介绍国际推崇的“先分层、再决策”诊疗理念。通过超声、CT等影像学精准区分单纯与复杂阑尾炎，结合妊娠期等特殊人群需求，详解阑尾切除、ERAT及抗生素非手术治疗的适用场景与复发风险，并强调规范用药与医患沟通的重要性，助力实现个体化安全治疗。
00:06
阑尾炎诊疗告别一刀切
00:47
影像学分型首选超声
01:28
超声诊断关键指标解析
02:26
复杂阑尾炎与孕妇处理
03:11
三大治疗方式多样化
04:01
手术时机依病情而定
04:49
ERAT微... more
本期播客聚焦重症急性胰腺炎（SAP）液体治疗的热点争议与进展。两位主持人剖析传统激进补液引发液体超负荷的危害，结合国内外重磅研究揭示其弊端，详解当前“目标导向的适度复苏”理念及ROSE四阶段实操模型，解析晶体液优选乳酸林格氏液的机制与胶体液局限，并强调多参数动态监测的重要性，展现SAP液体治疗从经验走向精准的医学思维演进。
00:06
热议SAP液体治疗的平衡难题
00:27
解析SAP病理矛盾与激进补液起源
01:15
揭示过度补液致命并发症及危害
02:13
中国研究实锤激进补液风险
02:... more
本期播客深入解读胃管在临床中的关键作用与管理细节，结合2023年最新指南，系统梳理必须插胃管的硬指标、可选情形及置管前筛查、定位确认、固定与冲管等精细操作要点，并探讨胃潴留个体化管理和拔管条件。内容兼顾专业性与科普性，帮助医护与普通大众理解胃管不仅是救命工具，更需科学管理以规避风险，提升患者安全与护理质量。
00:06
引入胃管疑问与指南概览
00:25
必插与可插胃管情境分类
01:00
治疗性胃肠减压及局限
01:44
腹部术后留置胃管原因
02:21
避免误吸与吻合口漏风险
03:02
诊... more
本期播客聚焦肠镜报告常见的“回肠末端淋巴滤泡增生”，厘清它不是独立疾病，而是形态学描述。节目从解剖生理、生理性与病理性区分、与克罗恩病等疾病的鉴别、感染与过敏等诱因入手，详解临床判断与随访要点，强调避免过度医疗或漏诊，需综合内镜、病理与炎症指标明确病因再施治，助医患理性面对该发现。
00:06
常见困惑：要不要紧会否变克罗恩
00:27
误区：非独立疾病仅是形态描述
01:22
淋巴滤泡为何集中于回肠末端
02:25
区分生理与病理性增生意义
03:14
增生与克罗恩病难互相确诊排除
03:56... more
播客聚焦消化科门诊常用的匹维溴铵与曲美布汀，从作用机制、临床应用、疗效证据到安全性层层剖析。前者为精准抑制痉挛的解痉药，后者是双向调节动力的“智能调节器”。通过对比二者机制差异与适应证边界，结合循证证据与用药注意，帮助医生与患者理解如何依据症状、合并用药及全身风险精准选药，避免混用隐患，实现安全高效治疗。
00:06
消化科九成医生爱用两款药
00:33
匹维溴铵精准抑制肠道痉挛
01:20
高选择性使全身不良反应低
01:57
曲美布汀双向调节胃肠动力
02:42
两药机制差异决定应用边界
0... more
幽门螺杆菌感染易致胃小弯炎症与萎缩，这与胃小弯流体流速慢、pH值适宜等生理环境有关，也涉及免疫和上皮细胞反应。了解其机制对临床活检和治疗评估意义重大。
快速收听
0:00
幽门螺杆菌感染后胃小弯易先出现炎症萎缩
0:47
Kimura–Takemoto分类系统与小弯萎缩扩展
1:21
Hp偏爱胃小弯的三大机制解析
3:22
Hp感染的病理基础与Hp分布变化
3:59
临床意义及病理活检建议
5:08
总结及对临床处理的启示
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消化肝病前沿资讯 launched a month ago and published 99 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.
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