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问:我患了慢性肝炎后常感上腹胀痛,胃口不好,甚至恶心、呕吐。请问这是什么原因?江苏东台陈晶明答:随着纤维胃镜检查的普遍开展,近年来,发现慢性肝炎患者中至少约有1/3合并有程度不同的胃粘膜损害,表现为粘膜充血、水肿、糜烂、溃疡、出血等。慢性肝炎患者为何会发生这些症状呢?这是因为肝脏发生慢性炎症并有硬化倾向时,门静脉的压力增高,胃粘膜充血、水肿,正常的屏障作用受到削弱、破坏。由于胃酸的作用,会造成胃粘膜糜烂,易于出血。
Q: After suffering from chronic hepatitis, I often feel abdominal pain, poor appetite and even nausea and vomiting. What is the reason? Jiangdong Dongtai Chen Jingming A: With the fiber gastroscopy carried out in general, in recent years, found that at least about 1/3 of patients with chronic hepatitis with varying degrees of gastric mucosal damage, manifested as mucosal congestion, edema, Erosion, ulcers, bleeding and so on. Why are these symptoms of chronic hepatitis patients? This is because the liver chronic inflammation and have a tendency to hardening, the portal pressure increases, gastric mucosal congestion, edema, the normal barrier function weakened, destroyed. Due to the role of gastric acid, can cause gastric mucosal erosion, easy bleeding.