{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1922","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1922","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为您提供:胃溃疡什么症状_胃溃疡的大便什么症状等相关信息，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"胃溃疡什么症状_胃溃疡的大便什么症状","title":"胃溃疡什么症状_胃溃疡的大便什么症状","channels":null},"data":{"list":[{"id":"2635","isDel":0,"createAt":1486369796952,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"胃溃疡有哪些症状？","content":"

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　　上腹部疼痛是本病的主要症状。多位于上腹部，也可出现在左上腹部或胸骨、剑突后。常呈隐痛、钝痛、胀痛、烧灼样痛。胃溃疡的疼痛多在餐后1小时内出现，经1～2小时后逐渐缓解，直至下餐进食后再复现上述节律。部分患者可无症状，或以出血、穿孔等并发症作为首发症状。

　　溃疡的临床表现与十二指肠溃疡有些类似，但又有自身特殊性。上腹部疼痛是本病的主要症状。多位于上腹部，也可出现在左上腹部或胸骨、剑突后。常呈隐痛、钝痛、胀痛、烧灼样痛。胃溃疡的疼痛多在餐后1小时内出现，经1～2小时后逐渐缓解，直至下餐进食后再复现上述节律。部分患者可无症状，或以出血、穿孔等并发症作为首发症状。

　　临床特征

　　胃溃疡的临床表现有以下3个特征：

　　1.慢性过程：少则几年，多则10余年或更长。

　　2.周期性：病程中常出现发作期与缓解期交替出现。

　　3.节律性：疼痛表现为餐后痛，餐后半小时疼痛开始，至下一次餐前消失，周而复始。胃溃疡的症状主要表现为腹痛;伴或不伴呕吐、恶心、反酸、嗳气等症状。但也有不少病人以胃溃疡的各种并发症如穿孔、出血、幽门梗阻而为首发症状。

　　症状与体征

　　1、嗳酸、烧心：嗳酸比较多见的。烧心，患者经常在心窝部或者剑突部感觉到疼痛。

　　2、出血：出血也是患者最常见的病症。会伴有呕血、大便出血、甚至会出现暗红素血便。

　　3、腹、背部压痛点：胃溃疡患者的压痛点经常位于前正中现肚脐上方腹部，或位于背部11~12胸椎两旁常有压痛。

　　4、上腹部疼痛：餐后1小时左右发生疼痛，经1到2小时逐渐缓解，直至下餐进食后又出现，此为胃溃疡最常见的症状之一。

　　5、恶心、呕吐：胃溃疡患者呕吐会有轻松感，常发生于凌晨，由于呕吐物中含有隔夜的食物，患者经常会感觉有酸馊的气味。

　　6、体征：缓解期一般无阳性体征。活动期只有上腹部轻压痛。但应注意行肛查和检查魏尔啸淋巴结有无肿大，以与胃癌相鉴别。

 


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\"bki-20131230155657-421478773.jpg\"

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　　在各种肠胃疾病当中，胃溃疡是一种比较常见的消化疾病。如果患有这种疾病，很可能会降低肠胃的免疫力，增加肠胃消化负担。如果大家可以及时发现胃溃疡这种疾病，尽早进行治疗，会对自己的病情有很大的帮助。

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　　一、腹、背部压痛点：胃溃疡患者的压痛点经常位于：前正中线肚脐上方腹部，或位于背部11～12胸椎两旁常有压痛。

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　　二、嗳酸、烧心：嗳酸比较多见的，特别是十二指肠溃疡患者。烧心，患者经常在心窝部或者剑突部感觉到疼痛。

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　　三、上腹部疼痛：餐后1小时左右发生疼痛，经1-2个小时逐渐缓解，直至下餐进食后又出现，此为胃溃疡最常见的症状之一。

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　　四、恶心、呕吐：胃溃疡患者呕吐后会有轻松感，常发生于清晨，由于呕吐物中含有隔夜的食物，患者经常会感觉到有酸馊的气味。

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　　如果大家在生活带当中身体出现上述症状，一定不要忽视这些不适症状，及时到正规的医院进行检查，避免胃溃疡的发生。如果发现自己患有了这种疾病，也可以尽早进行治疗，增加治愈几率，让身体快速恢复健康。

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    \n
  1. \n

    \"bki-20131230155657-421478773.jpg\"

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    2. \n
  2. \n

    1.        胃溃疡的几个阶段

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    3. \n
  3. \n

    胃溃疡的发展一般要经历三个阶段，分别为浅表性胃炎、糜烂性胃炎进而发展成胃溃疡。一旦获得胃溃疡病人往往十分痛苦且反复发作不易治愈，所以如果能在溃疡前期的浅表性胃炎或糜烂性胃炎这个阶段及时补充维生素C、醇溶谷蛋白等微量蛋白元素帮助加以治疗，可以大大降低获得胃溃疡的危险。

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    4. \n
  4. \n

     

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    5. \n
  5. \n

    2.        胃溃疡自我诊断

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    6. \n
  6. \n

    胃溃疡最常见的最典型的症状就是有规律的疼痛！一般发生在饭后半个小时到一个小时，而有规律的饭前疼痛一般为十二指肠球溃疡，这个需要加以区分。胃溃疡发病部位一般出现在上腹部的位置，食物进入胃部进行消化时疼痛发生，根据发病部位和严重程度不同分为隐痛、钝痛、刺痛绞痛等几种。

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    7. \n
  7. \n

     

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    8. \n
  8. \n

    3.        胃溃疡伴随症状

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    9. \n
  9. \n

    胃溃疡往往伴随胃酸、胃胀、食欲不振、消瘦等并发症状。几乎100%的胃溃疡都会导致胃酸分泌过多，病人往往感觉反酸、嗳气、胃胀；胃部做为重要的消化器官，溃疡病变病人往往消化吸收能力下降、食欲不振所以临床上胃溃疡的很多后期患者都是十分消瘦非常痛苦。

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    10. \n
  10. \n

     

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    11. \n
  11. \n

    4.        胃溃疡早期治疗

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    12. \n
  12. \n

    胃溃疡在治疗主要从两方面着手，胃粘膜修复、良好的饮食习惯。胃溃疡是典型的胃粘膜疾病，所以解决胃溃疡的根本在于胃粘膜修复，胃粘膜保护类药物抑制、醇溶谷蛋白、维生素C等蛋白和微量元素补充是最直接有效的方法；胃溃疡病人一定要严格禁食的过冷、过硬、过酸、过辣、过甜等刺激性的食物，这些食物会加剧胃粘膜刺激、加重溃疡病情。另外建议患者进行一次幽门螺旋杆菌的查杀，以确保更全面的彻底消除溃疡病患。

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    13. \n
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\"bki-20131230155657-421478773.jpg\"/

一、症状：

1、 胃溃疡的临床表现有3个特征：

①慢性过程。少则几年，多则10余年或更长。②周期性。病程中常出现发作期与缓解期交替出现。③节律性：疼痛表现为餐后痛，餐后半小时疼痛开始，至下一次餐前消失，周而复始。胃溃疡的症状主要表现为腹痛;伴或不伴呕吐、恶心、反酸、嗳气等症状。但也有不少病人以胃溃疡的各种并发症如穿孔、出血、幽门梗阻而为首发症状。

2、上腹部隐痛不适：

胃溃疡的疼痛是一种内脏性质的疼痛，体表定位不确切，同时疼痛多不剧烈，可以忍受，表现为烧灼样痛，隐痛不适等。活动期具有节律性，表现为餐后痛，随着病理的发展具有周期性和季节性特点。贲门附近的溃疡还可表现为胸骨后烧灼感和左胸部疼痛。当溃疡发生穿透，表现为疼痛程度加重，向背部放射或背痛，同时有夜间痛等表现，当疼痛性质和节律性发生改变时，还应警惕恶变的可能。

3、恶心、呕吐：

无幽门梗阻而发生呕吐多提示溃疡处于活动期，呕吐为间歇性。频繁呕吐多提示幽门梗阻。

4、反酸、嗳气、腹泻：

反酸亦提示溃疡可能处于活动期。

5、出血、穿孔：

发生出血、穿孔后都有其特殊的临床表现，见并发症一节。

二、体征：

缓解期一般无阳性体征。活动期只有上腹部轻压痛。但应注意行肛查和检查魏尔啸淋巴结有无肿大，以与胃癌相鉴别。

三、诊断标准：

胃镜检查发现胃溃疡。

 


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　　溃疡病治疗效果降低溃疡病虽然易反复发作，但每次发作服用抗溃疡药后，症状均能缓解。如果有溃疡病史的人按常规治疗，疼痛不缓解或效果不明显，则提示有可能发生了恶变。

　　进行性消瘦及贫血

　　长期慢性溃疡病患者可能身体虚弱，但不一定消瘦。除非溃疡长期或大量出血，病人一般不会有明显的贫血征象。年龄在四、五十岁以上的胃溃疡病人如果短期内食欲减退、消化不良，恶心、呕吐，吐宿食或暗红色食物，而且有全身疲乏和进行性消瘦，也可能是溃疡病恶变的信号之一。

　　比较固定的包块

　　一般胃溃疡或十二指肠溃疡不形成包块。如果发生恶变，溃疡就会变大、变硬，在较晚期可以于左上腹摸到包块。包块质硬，表面多呈结节状，不光滑，并且逐渐增大，压之疼痛。疼痛可放射到背部、左腰部、脐部、胸部、心前区、甚至胸骨后。出现这种包块时，很可能胃溃疡已经发生癌变。

　　疼痛性质和规律改变疼痛是溃疡病最常见、最主要的症状

　　疼痛多为上腹部局限性的隐痛、烧灼样痛或钝痛。典型的溃疡病疼痛有一定规律性，常与饮食关系密切，比如，十二指肠溃疡多为饭前痛（即空腹痛）；典型的胃溃疡为饭后痛，常在饭后1~2小时发生，持续一二个小时，以后逐渐减轻。不过也有的溃疡病人疼痛规律性不太明显，疼痛性质也因人而异。另外，溃疡病的疼痛，常因气候转冷、吃生冷及坚硬食物、疲劳、熬夜、情绪波动而加剧。如果疼痛失去原有的规律性，无定时，或成为持续性隐痛，或者疼痛的性质与原来比较发生明显改变，都应警惕恶变，要去医院做进一步检查。

 


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