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急性胃溃疡因其所产生的Ｘ线征象酷似早期胃癌的Ⅱｃ、Ⅱｃ＋Ⅱａ或Ⅱａ＋Ⅱｃ型，如对其征象认识不足，无论Ｘ线或胃镜皆易误诊为早期胃癌。因其愈后好，保守治疗可在短期内迅速治愈，加深对本病的认识则有着重要意义。本文通过对１０例急性胃溃疡的分析，认为其Ｘ线特点为：（１）溃疡形态浅而不规则，但溃疡的边缘轮廓清晰锐利；（２）溃疡底相对较平坦；（３）粘膜皱襞可出现类似恶性皱襞的征象，但粘膜皱襞的尖端光滑无蚕蚀及阶梯状狭窄；（４）动态观察短期内病灶迅速缩小。短期内复查及随访观察是鉴别诊断必不可少的关键环节。良好的双对比像和压迫法的有效运用，对于诊断有重要价值。
Acute gastric ulcer because of its X-ray findings resemble the early gastric cancer Ⅱ c, Ⅱ c + Ⅱ a or Ⅱ a + Ⅱ c type, such as its lack of awareness of signs, both X-ray or endoscopy are misdiagnosed as early gastric cancer. Because of its better, conservative treatment can be quickly cured in the short term, deepen the understanding of the disease is of great significance. This article through the analysis of 10 cases of acute gastric ulcer, that its X-ray features are as follows: (1) shallow and irregular shape of the ulcer, but the edge of the ulcer clear and sharp outline; (2) the ulcer at the relatively flat; (3) mucosal folds Similar signs of malignant folds may appear, but the tip of mucosal folds is smooth and without erosion and step-shaped stenosis; (4) The dynamic observation of lesions in the short term is rapidly reduced. Short-term review and follow-up observation is essential for differential diagnosis of the key link. Good double contrast images and the effective use of oppression law, has important value for the diagnosis.