论文部分内容阅读
硷性反流性胃炎是一较常见疾病。现将我院经纤维胃镜证实的80例作一分析、讨论。临床资料一般资料:本组80例,男性75例,女性5例,均无胃手术史。平均年龄27.3岁(17～57岁)。病程最短1月,最长12年,平均3.5年。 80例均具有不同程度的胃炎,其中浅表性胃炎66例(82.5％),萎缩性胃炎1例,余13例为浅表-萎缩或萎-浅表性胃炎。病变位于胃窦部者70例,胃窦+胃体10例,波及食道1例。并溃疡17例(21.3％),其中胃溃疡6例,球部溃疡10例,复合性溃疡1例。临床表现:上腹隐痛或胀痛77例,暖气25例,腹胀11例,返酸15例,包括并存球部溃疡者10例;呃“苦水”9例,呕吐胆汁3例,占全组的15％,均为胆汁反流较明显者;黑便6例,其中并球部溃疡3例,并胃溃疡2例,浅表性胃炎1例。主要体征:上腹部不同程度的压痛59例,占全组的
Alkaline reflux gastritis is a more common disease. 80 cases confirmed by our hospital fiber gastroscopy for an analysis, discussion. General information on clinical data: The group of 80 patients, 75 males and 5 females, no history of gastric surgery. The average age of 27.3 years old (17 to 57 years old). The shortest course of January, the longest 12 years, an average of 3.5 years. There were 66 cases of superficial gastritis (82.5%), 1 case of atrophic gastritis, and the remaining 13 cases of superficial gastritis with atrophy or wilting-superficial gastritis. 70 cases of lesions in the antrum, gastric antrum + 10 cases, affecting the esophagus in 1 case. 17 cases were ulcer (21.3%), including 6 cases of gastric ulcer, 10 cases of ulcer and 1 case of complex ulcer. Clinical manifestations: pain or pain in the upper abdomen in 77 cases, 25 cases of heating, abdominal distension in 11 cases, 15 cases of acid reflux, including concurrent micturition ulcer in 10 cases; er “bitter water” in 9 cases, vomiting bile in 3 cases, accounting for the whole group 15%, were more obvious bile reflux; black stool in 6 cases, including 3 cases of ulceration and ulcers, gastric ulcer in 2 cases, 1 case of superficial gastritis. Main signs: different degrees of tenderness on the abdomen in 59 cases, accounting for the whole group