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1 对象和方法 1.1 对象 1989年1月-1992年底,我室共检出消化性溃疡405例,其中幽门管溃疡26例,占6.5％。其中男21例,女5例。病程7d到4年,2年以内22例。上腹痛24例(92.3％),其中无典型节律性疼痛18例,持续性餐后剧痛4例,餐前痛2例。反酸20例。26例均有不同程度的食欲减退、恶心及呕吐。近期出血者10例(38.7％),较胃溃疡(33.4％)和十二指肠溃疡(34.2％)出血多见。 1.2 胃镜资料 胃镜下见幽门管口不同程度变形,插入幽
1 objects and methods 1.1 object January 1989 - the end of 1992, my room were detected peptic ulcer in 405 cases, of which 26 cases of pyloric ulcer, accounting for 6.5%. There were 21 males and 5 females. Course of disease 7d to 4 years, 22 cases within 2 years. 24 cases of upper abdominal pain (92.3%), including no typical rhythmic pain in 18 cases, 4 cases of persistent postprandial pain, 2 cases of pre-meal pain. Acid reflux in 20 cases. All 26 patients had varying degrees of loss of appetite, nausea and vomiting. Ten cases (38.7%) of recent bleeding, more common than gastric ulcer (33.4%) and duodenal ulcer (34.2%) bleeding. 1.2 Gastroscopy Gastroscopy see the pylorus nozzle to varying degrees of deformation, inserted quiet