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李×:我经常感到胃疼,以为自己得了胃病,今天经B超检查,诊断为胆石症,王大夫,胆石症为什么会感到胃痛呢? 王大夫:这其中原因较多,分析起来主要有三个,一个是腹部肌反射的特点是不定位,例如胰腺炎、兰尾炎、胆囊炎、胆石症等,发生病变时疼痛的症状都感到胃部疼痛,其实病变的部位不是在胃而是在其它器官。第二种原因是,从解剖部位来看胆总管胃幽门括约肌、十二指肠、胰头相邻很近,当胆囊发生炎症或胆总管由于结石阻塞,使胆总管压力增高时,胆汁就可返流入胃,因胆汁为碱性液,刺激胃粘膜也能引起疼痛。第三种原因是由于胆囊病变,使胆汁浓缩和储存胆汁的功能降低,胆汁与消化食物的功能减小,这样也可引起胃胀痛,恶气和不消化的症状。李×:王大夫,是不是胆石症都会有胃痛的症状呢?
Lee ×: I often feel a stomach ache, I thought I had stomach problems, today by B-ultrasound, diagnosed as cholelithiasis, Dr. Wang, cholelithiasis why it felt stomach pain? Wang: There are many reasons for this analysis of the main three , One is characterized by abdominal muscle reflex is not localized, such as pancreatitis, mastitis, cholecystitis, cholelithiasis, the incidence of pain in the symptoms of pain in the stomach, in fact, the lesion is not in the stomach but in the other organ. The second reason is that from the anatomical site of the common bile duct pyloric sphincter, duodenum, adjacent to the head of the pancreas, when the gallbladder inflammation or common bile duct obstruction due to stones, the common bile duct pressure increases, the bile can Back into the stomach, due to bile alkaline solution to stimulate the gastric mucosa can also cause pain. The third reason is that due to gallbladder lesions, the functions of concentrating bile and storing bile are reduced, and the functions of bile and digested food are diminished. This may also cause stomach pain, bad breath and indigestion. Lee ×: Dr. Wang, cholelithiasis will have symptoms of stomach pain?