最後更新：2026年10月1日
十二指腸黏膜糜爛或潰瘍,可能因 NSAIDs、類固醇、胰臟炎或腫瘤引起。症狀包含嘔吐、腹痛及黑便。
可能因肥大細胞瘤或腎衰竭
常因 NSAIDs 或類固醇使用
建議：LRS 或 Plasmalyte，矯正脫水 (deficit) + 維持量 + 持續損失量
類型：LRS
監測頻率：每日評估
[1]From Selye's and Szabo's Cysteamine-Duodenal Ulcer in Rats to Dopamine in the Stomach: Therapy Significance and Possibilities.
[2]Antiulcerogenic Activity of Li-Zhong Decoction on Duodenal Ulcers Induced by Indomethacin in Rats: Involvement of TLR-2/MyD88 Signaling Pathway.
[3](-)-Fenchone Prevents Cysteamine-Induced Duodenal Ulcers and Accelerates Healing Promoting Re-Epithelialization of Gastric Ulcers in Rats via Antioxidant and Immunomodulatory Mechanisms.
[4]Comparison of 'primary repair' and 'placing a drain without repair' methods in duodenum perforations.
穩定但需注意惡化徵兆，建議安排近期門診 (stable but monitor for deterioration, schedule near-term visit)
預後良好至謹慎;停用致病藥物及治療原發病因後多數改善;穿孔預後不良
十二指腸潰瘍 診斷流程
詳細問診包括發病經過、用藥史、飲食與環境
CBC、生化全套、尿液分析
來源：自動產生