{"nowTime30":1776266464059,"lyBarModerator":null,"metaSearch":{"description":"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","keywords":"胃溃疡的早期症状，胃溃疡有什么表现？得了胃溃疡会怎样_洞医","title":"胃溃疡的早期症状，胃溃疡有什么表现？得了胃溃疡会怎样_洞医","channels":null},"identificate":{"id":"0300b4bddfaf11e6a61c00163e04584d","isDel":0,"createAt":1484985344390,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","realName":"赵玉","certifiedStatus":2,"phone":"111111111111","email":"2276635444@qq.com","hospitalId":"31c19c1b453011e69d4700163e005165","departmentId":"2000","illName":"","illId":"793a72a2bb5f11e6a61c00163e04584d","cardType":1,"cardImg":"http://01luntan.com/ly_img/1484985951761.jpg","idCardImg":"","identityType":2,"stop":0,"departmentName":"儿科","hospitalName":null},"canEdit":null,"adList":[],"lyBar":{"id":"1922","isDel":0,"createAt":1483430796894,"createBy":"system","createName":"system","updateAt":0,"updateBy":null,"updateName":null,"userId":null,"name":"胃溃疡","type":102,"twoCode":"http://zhao01.com/zly_img/zly_wx.jpg","image":null,"provinceId":null,"cityId":null,"illId":"0edf0c71badb11e6a61c00163e04584d","hospitalId":null,"keyWord":null,"totleTopic":0,"barDesc":null,"discussBarType":null,"metaSearch":"{\"channels\":{\"病友社区\":{\"description\":\"为病友提供:胃溃疡论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡论坛_病友交流平台_病友论坛\",\"title\":\"胃溃疡论坛_病友交流平台_病友论坛\"},\"治疗\":{\"description\":\"为您提供:治疗胃溃疡的办法_中医怎样治疗胃溃疡等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"治疗胃溃疡的办法_中医怎样治疗胃溃疡\",\"title\":\"治疗胃溃疡的办法_中医怎样治疗胃溃疡\"},\"症状\":{\"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\"},\"并发症\":{\"description\":\"为您提供:胃溃疡好了有后遗症吗_胃溃疡对身体的危害等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡好了有后遗症吗_胃溃疡对身体的危害\",\"title\":\"胃溃疡好了有后遗症吗_胃溃疡对身体的危害\"},\"饮食\":{\"description\":\"为您提供:胃溃疡吃什么东西好_胃溃疡不能吃什么等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡吃什么东西好_胃溃疡不能吃什么\",\"title\":\"胃溃疡吃什么东西好_胃溃疡不能吃什么\"},\"病因\":{\"description\":\"为您提供:胃溃疡是如何引起的_导致胃溃疡的原因等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡是如何引起的_导致胃溃疡的原因\",\"title\":\"胃溃疡是如何引起的_导致胃溃疡的原因\"},\"病友求助\":{\"description\":\"为您提供:胃溃疡难治疗吗_胃溃疡能彻底根治吗等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡难治疗吗_胃溃疡能彻底根治吗\",\"title\":\"胃溃疡难治疗吗_胃溃疡能彻底根治吗\"},\"预防\":{\"description\":\"为您提供:怎样预防胃溃疡复发_胃溃疡的预防方法等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"怎样预防胃溃疡复发_胃溃疡的预防方法\",\"title\":\"怎样预防胃溃疡复发_胃溃疡的预防方法\"}},\"description\":\"为您提供:胃溃疡的症状及治疗有哪些_胃溃疡的早期症状_胃溃疡多吃什么食物好_胃溃疡病友的治疗经验等相关信息，让病友在便捷的求医路上不花一分冤枉钱。\",\"keywords\":\"胃溃疡的症状及治疗有哪些_胃溃疡的早期症状\",\"title\":\"胃溃疡的症状及治疗有哪些_胃溃疡的早期症状\"}","adInfo":null},"isLikeThisTopic":null,"lastTopics":[{"id":"1497","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡预防的方法","content":"<p style=\"text-align: center;\"><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\"><img title=\"1486368047926.jpg\" src=\"http://01luntan.com/ly_img/uimgs/1486368047926.jpg\" alt=\"bki-20131230155657-421478773.jpg\" /></span></p>\n<p><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　胃溃疡在临床上是一种常见的消化道疾病，以饥饿不适、饱胀嗳气 泛酸为典型的临床症状，严重时可有呕血与黑便，该病病程长，易反复，严重影响患者的工作和生活质量。该病若不及时治疗，病情迁延进一步发展，则可导致患者出现胃穿孔、出血，甚至恶性病变等严重的并发症，危及患者生命。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　近年来随着人们生活节奏及生存环境的改变，该病的发病率呈现逐年增加的趋势，如何做好该病的预防工作已成为临床关注的焦点。笔者结合自己多年的临床工作经验，就该病如何在日常生活中做好预防工作进行浅述。以下可能引起胃溃疡的因素：&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　1吸烟&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　吸烟者比不吸烟者溃疡病发生率高2倍，吸烟影响溃疡愈合和可促进溃疡复发，其可能机制：&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　（1）吸烟可以促使胃酸和胃蛋白酶原分泌增多。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　（2）吸烟可抑制胰腺分泌HCO3-盐，从而削弱中和球部内酸性液体的能力。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　（3）吸烟可影响幽门括约肌关闭功能而导致胆汁反流，破坏胃黏膜屏障。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　（4）吸烟可使胃排空延缓和影响胃十二指肠运动功能。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　（5）吸烟可影响胃十二指肠黏膜内前列腺素合成，减少黏液量和黏膜血流量，从而降低黏膜的防御功能。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　2饮食&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　酒、咖啡、浓茶、可口可乐等饮料能刺激胃酸分泌增多，易诱发溃疡病。吃精制低纤维素食物者比吃高纤维素者溃疡发病率高。有人认为多渣食物或许有促进表皮生长因子或前列腺素释放增多的作用。再者，饮食欠规律同样诱发溃疡的发生。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　3精神因素&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　长期精神紧张、焦虑或情绪波动的人易患溃疡。人在应激状态时，可能促进胃的分泌和运动功能增强，胃酸分泌增多和加速胃的排空，同时由于交感神经兴奋使胃十二指肠血管收缩，黏膜血流量下降，削弱了黏膜自身防御功能。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　4药物&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　长期口服非甾体类抗炎药约有10%～25%患者发生溃疡病，其中以胃溃疡更为多见。除药物对胃十二指肠黏膜直接刺激作用外，主要是由于这类药物抑制体内的环氧化酶活性使黏膜内前列腺素合成减少，削弱了对黏膜的保护作用。阿司匹林原物是脂溶性的，能穿透上皮细胞膜破坏黏膜屏障。&nbsp;</span><br /><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: #ffffff;\">　　综上所述，只要我们日常生活当中做好预防工作： 饮食三餐有规律、有节制，避免过度劳累和精神紧张，戒烟、酒，尽量少服用非甾体类抗炎药，会大大减少胃溃疡的发生。</span></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1036","readLevel":0,"files":"","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":2},{"id":"4371","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"老年胃溃疡患者的护理体会","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486368903284.jpg\" title=\"1486368903284.jpg\" alt=\"bki-20131230155657-421478773.jpg\"/></p><p><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　胃溃疡是因为缺少保护因子的作用，胃功能减弱，对环境变化情绪刺激都有应激反应，特别是老年胃溃疡患者，因为年龄偏大，身体机能减弱和中青年胃溃疡患者相比，一般外在症状不明显，容易引起混淆和疏忽，针对这一特点对老年胃溃疡患者进行研究，找到适合的解决方法。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1 资料与方法&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.1 一般资料 自2012年1月至11月，选择我科超过60岁的胃溃疡患者89例，其中男性52例，女性37例，年龄最大的84岁，年龄最小的60岁，平均年龄68.5岁；高中及以上文化者32例，退休干部26例，工人和农民42例，退休教职人员20例，发病率病程最长12年，最短4个月，平均病程3.6年，此次发病最长14天，最短2天，平均5.4天。平时嗜烟酒者62例，饮食休息不规律者41例，其中高血压者12例，糖尿病者5例，不同程度冠心病26例，肾炎患者4例，其他疾病患者6例；此次发做症状是上腹部疼痛15例，呕吐泛酸者8例，呕血便血者7例。将患者分为2组，观察者50例加强护理，对照组39例常规护理。两组患者的性、年龄、病情等无明显差异，具有可比性。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　纳入标准：所以患者检查血常规、B超、内镜等项目确诊为胃溃疡发作。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.2 疾病特点 患者早期症状不明显，胃部隐隐作痛，肠鸣音亢进，饭后疼痛不减或加重，部分患者呕吐泛酸、胸闷，以为是心脏病发作，服心绞痛药不缓解而就诊。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.3 护理方法&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.3.1 常规护理 两组均采用相同的药物，雷尼替丁250ml，每日两次静脉滴注。呕血严重者维生素10MG静脉推注。每日少食多餐，忌食物冷硬难消化。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.3.2 心理护理 胃溃疡是很容易随情绪变化而变化的疾病，所以对观察组患者加强心理安慰、鼓励，要多理解和尊重患者，用轻松欢快的语言讲解病情，使患者消除忧郁、担心、紧张情绪和恐惧心理，保持豁达开朗的心情，帮助患者恢复战胜疾病的信心，加速好转。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.3.3 饮食护理 专门为观察组患者调配食物，因食物温度在37-40℃，从办流食到软食逐渐过度，少食多餐，每日5次为宜，每顿小半碗软饭，营养搭配包括鸡汤、蛋汤、蔬菜汤等高营养高维生素食物，可配合中药药膳饮食，忌生冷辣酸和油炸食物，尽量少喝牛奶、碳酸饮料等引起胀气的食物。劝嗜好烟酒的老人戒烟限酒，忌饮浓茶咖啡。逐渐改善，使其饮食规律化科学化。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.3.4 健康指导 通过宣传手册、专业护理人员一对一讲解、病友交流等多种方式，对老年胃溃疡患者进行健康指导，讲解发病原因和特点，主要应对方法，指导患者怎样通过规律的饮食和生活习惯，如保证充足的睡眠、随天气变化增减衣服，注意胃部保暖，注意不生气少生气来减少发病几率，按时按量按疗程服药，定期复查，达到控制疾病、消灭疾病的目的。并定期随访。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　1.4 疗效标准 痊愈：全身症状消失，B超或内镜检查溃疡面消失；好转；全身症状不明显，B超或内镜检查溃疡面明显缩小；无效；全身症状不见减轻，B超或内镜检查溃疡面没有变化或增大。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2 结果&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2.1 两组患者经过治疗，均有不同程度的好转，观察组50例，痊愈21例；好转25例；无效4例，总有效率92%。对照组39例，痊愈11例；好转17例；无效8例；总有效率71.8%，观察组经过加强护理总有效率比对照组多20.2%，两者差距显著。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2.2 两组随访的复发率情况 比较观察组50例。复发3例，复发率6.0%。对照组39例，复发6例，复发率15.4%。经过健康指导观察组复发率为6.0%比对照组低9.4%，两者差距显著。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　2.3 从患病及复发情况看，文化程度高的患病率更低，教职人员和医护人员发病率和复发率更低，文化程度较低的工人和农民发病率和复发率较高。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　3 结论&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　胃溃疡是一种慢性疾病，发病人群以中青年居多，随着人们生活节奏变快、生活压力增大，生活习惯不规律，夜生活丰富等原因，胃溃疡成为消化系统主要疾病之一，而且迁延难愈。很多人年轻时不治，到老年时，因为身体抵抗力变低，各器官功能变弱、所以凸显出来，甚至由于情绪波动大，温度冷热变化急剧等，引起急性发作才被重视，常常因为平时症状不明显或身体的痛感不急、不强烈而被忽视，造成慢性胃溃疡或溃疡性胃炎，发展严重者，潜在病变容易引发胃部癌变。胃溃疡发病的老年人一般都有暴饮暴食史，嗜食生冷酸辣等刺激性食物，饮食无规律，且性格内向容易激动，文化程度不高，对身体保养方面认识不足，所以，要加大宣传力度，才能从根源上减少胃溃疡，避免它带给老年人的危害。&nbsp;</span></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1035","readLevel":0,"files":"","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":2},{"id":"10075","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡都有哪些并发症","content":"<p style=\"line-height:200%\"><br/></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　胃溃疡是一种较为常见的消化疾病，胃溃疡同时也是一种易反复发作的疾病之一，其发病原因主要跟日常的一些饮食习惯和生活环境有关，所以我们一定要保持良好的饮食习惯。那么，胃溃疡都有哪些并发症</span>?</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height: 200%; text-align: center;\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><img src=\"http://01luntan.com/ly_img/uimgs/1514523934839.jpg\" title=\"胃溃疡都有哪些并发症\" alt=\"胃溃疡都有哪些并发症\" width=\"600\" height=\"372\"/></span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><br/></span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　1.上消化道出血</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　上消化道出血是消化性溃疡最常见的并发症，有</span>20％～30％的溃疡患者曾有出血病史，十二指肠溃疡出血较胃溃疡更多见。据统计，在上消化道出血的各种病因中，溃疡约占50％，居首位。消化性溃疡并出血多数可以自行停止。胃溃疡出血多于十二指肠溃疡。出血易发生于消化性溃疡出现后的1～2年内。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　2.溃疡穿孔</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　消化性溃疡穿孔临床上可分为急性、亚急性和慢性三种。十二指肠溃疡发生率高于胃溃疡。以</span>30～50岁多见，十二指肠溃疡穿孔多见于40岁以下的青壮年，而胃溃疡穿孔以50岁以上的中老年居多。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　3.幽门梗阻</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　消化性溃疡患者约</span>10％可能并发幽门梗阻，大多发生于十二指肠溃疡，其次为幽门管或幽门前溃疡。消化性溃疡并发幽门梗阻老年多见，以男性为主。近年来由于各种有效抗溃疡药物的广泛应用，此种并发症明显减少。幽门梗阻有器质性和功能性两种。前者是因慢性溃疡引起黏膜下纤维化，导致瘢痕性狭窄，内科治疗无效，常需外科手术治疗;后者由于溃疡周围组织炎症引起充血水肿和幽门反射性痉挛所致，内科治疗有效。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　4.癌变</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　慢性胃溃疡是否会癌变，目前尚有争议。多数学者认为胃溃疡癌变是存在的，其癌变率估计在</span>1％～7％，胃溃疡癌变常发生于溃疡边缘，十二指肠溃疡一般不发生癌变。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　以上就是胃溃疡疾病易引发的几种常见并发症，所以患有胃溃疡的患者们一定要做到早发现早治疗，在平时的生活中和游玩中一定要避免食用过多垃圾视频和油炸类食物。另外，还要注意不要暴饮暴食，防止引发胃溃疡的发病。</span></p><p><br/></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1034","readLevel":0,"files":"","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":2},{"id":"4041","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡，十二指肠球部复发性溃疡","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">前身无力，脸发黄，做事没力气，吃饭吃一点</span>，<span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">胃体溃疡，十二指肠球部复发性溃疡</span></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1033","readLevel":0,"files":"","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":2},{"id":"4635","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡，早期癌变，胃镜治疗","content":"<p><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">我母亲因腹痛，消化道出血，年初与二到当地县人民医院住院治疗，经胃镜检查出贲门糜烂，胃溃疡，十二指肠溃疡等症状，医生建议手术切除或转上级医院进行胃镜切除。</span><span style=\"color: rgb(51, 51, 51); font-family: &#39;Hiragino Sans GB&#39;, Helvetica, &#39;microsoft yahei&#39;, simsun, arial; font-size: 14px; line-height: 32px; background-color: rgb(252, 252, 252);\">如做胃镜切除手术复杂吗？治疗大约需多少费用？</span></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":"","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":2},{"id":"1326","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡的早期症状及治疗方法","content":"<ol class=\"exp-conent-orderlist list-paddingleft-2\" style=\"list-style-type: none;\">\n<li>\n<p style=\"text-align: center;\"><img title=\"1486370166205.jpg\" src=\"http://01luntan.com/ly_img/uimgs/1486370166205.jpg\" alt=\"bki-20131230155657-421478773.jpg\" /></p>\n</li>\n<li>\n<p style=\"margin: 1px 0 0 24px; line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">1.<span style=\"font-stretch: normal; font-size: 9px; line-height: normal; font-family: 'Times New Roman';\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">胃溃疡的几个阶段</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">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</span><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">C</span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">、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。</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">&nbsp;</span></p>\n</li>\n<li>\n<p style=\"margin-left: 24px; line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">2.<span style=\"font-stretch: normal; font-size: 9px; line-height: normal; font-family: 'Times New Roman';\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">胃溃疡自我诊断</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">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。</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">&nbsp;</span></p>\n</li>\n<li>\n<p style=\"margin-left: 24px; line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">3.<span style=\"font-stretch: normal; font-size: 9px; line-height: normal; font-family: 'Times New Roman';\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">胃溃疡伴随症状</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">胃溃疡往往伴随胃酸、胃胀、食欲不振、消瘦等并发症状。几乎</span><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">100%</span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">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。</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">&nbsp;</span></p>\n</li>\n<li>\n<p style=\"margin-left: 24px; line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">4.<span style=\"font-stretch: normal; font-size: 9px; line-height: normal; font-family: 'Times New Roman';\">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">胃溃疡早期治疗</span></p>\n</li>\n<li>\n<p style=\"line-height: 21px; border: none; padding: 0;\"><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">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</span><span style=\"font-size: 12px; font-family: 'microsoft yahei','serif'; color: #333333;\">C</span><span style=\"font-size: 12px; font-family: 宋体; color: #333333;\">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。</span></p>\n</li>\n</ol>","barId":"1922","topicTypeId":null,"topicThemeId":"1029","readLevel":0,"files":"","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":3},{"id":"2617","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"忙出来的胃溃疡，白领要注意","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486368319940.jpg\" title=\"1486368319940.jpg\" alt=\"bki-20131230155657-421478773.jpg\"/></p><p><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　忙于事业的小强直到35岁才找到合适的女朋友。前不久，他们开始装修新房，筹办婚事。不凑巧的是，小强所在的公司刚好有一笔重要业务离不开小强，筹办婚事的一切重任都落在他女朋友小薇身上。大喜之日，我和朋友们去给小强祝贺，看着布置得典雅别致的新房，大家都啧啧称赞。听着我们的夸奖，小强自豪地说：“这些都是小薇的功劳!”&nbsp;</span><br/><span style=\"color:#ffffff\">中国论文网 http://www.xzbu.com/6/view-2704515.htm</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　闹完洞房，我刚到家，手机就响了，是小强打来的。他在电话里焦急地说，我们走后没多长时间，小薇就腹痛难忍，已经送往我所在的医院检查，让我这个当医生的朋友去帮忙。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　当我赶到医院时，小薇脸色煞白，正在输液。主治大夫对我说，没有什么问题，可能是得了胃病，明天做个检查就能确诊了。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　第二天，检查结果出来了――胃溃疡。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　拿着检查结果，小强不解地看着我说：“平时小薇饮食非常有规律，也没有什么不良嗜好，怎么可能得胃溃疡呢?”小薇也接过话说：“是呀!尤其是最近这段时间，我特别注意。”&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　听着小两口的叙述，我明白了，小薇得的胃溃疡与生活习惯无关，她的病是忙出来的。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　“什么?小薇的病是忙出来的?”小强听了我的判断一脸狐疑。我说：“是呀!胃溃疡是典型的心身疾病，不止是不好的生活习惯、饮食无规律等原因会引发胃溃疡，长期的精神高度紧张、过度劳累等心理与生理因素也都能诱发胃溃疡。”&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　“还真没听说过，你再仔细讲一下好不好?”小强着急地追问道。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　“原因其实很简单，从科学上讲，长期精神紧张会通过大脑皮质影响自主神经系统，使胃黏膜血管收缩、胃功能紊乱、胃酸和胃蛋白酶分泌过多，从而诱发胃溃疡。过度劳累则会引起消化器官供血不足和胃黏膜分泌失调，这也能导致胃病发生。”听完我的解释，小强懊悔不已。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　看着小强着急的样子，我笑了，说：“生病并不可怕，只要遵从医嘱，配合治疗，是完全可以治愈的。现在需要你们注意的是，胃溃疡是多发病、慢性病，要想使其完全治愈，必须坚持长期规律服药才行，切不可症状稍有好转就骤然停药。”</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　一听说长期服药，小强“啊”了一声，又问：“得多长时间呀?”“一般来说，一个疗程要服药4－6周，疼痛缓解后，还得巩固1－3个月，甚至更长时间。”“更长时间?”小强更着急了。&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　我说：“你别急，像小薇这种忙出来的胃溃疡是比较好治的，只要有好的生活习惯，再加上保持轻松愉快的心境，治愈还是很快的。”&nbsp;</span><br/><span style=\"font-family: Arial, 宋体; font-size: 14px; line-height: 25.2px; background-color: rgb(255, 255, 255);\">　　听我这么一讲，小强立马说：“从今往后，我一定要做一个模范丈夫。”</span></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1028","readLevel":0,"files":"","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":2},{"id":"10072","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":"胃溃疡的发病原因有哪些","content":"<p style=\"line-height:200%\"><br/></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"></span></p><p style=\"text-indent:32px;line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">正常胃黏膜具有完善而有效的防御和修复机制，足以抵抗胃酸及胃蛋白酶的侵蚀。只有当某些因素损害了这一机制才可能发生胃酸及胃蛋白酶侵蚀黏膜而导致溃疡形成。近年的研究已经明确，幽门螺杆菌和非甾体抗炎药是损害胃十二指肠黏膜屏障从而导致消化性溃疡发病的最常见病因。当过度胃酸分泌远远超过黏膜的防御和修复作用也可能导致消化性溃疡发生。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"></span><br/></p><p style=\"line-height: 200%; text-align: center;\"><img src=\"http://01luntan.com/ly_img/uimgs/1514523865513.jpg\" title=\"胃溃疡的发病原因有哪些\" alt=\"胃溃疡的发病原因有哪些\" width=\"600\" height=\"372\"/></p><p style=\"line-height:200%\"><br/></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　(1)幽门螺杆菌感染</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　幽门螺杆菌为胃溃疡的重要病因，一般认为是幽门螺杆菌感染引起的胃黏膜炎症削弱了胃黏膜的屏障功能，导致胃酸对屏障的损害及胃黏膜的侵蚀作用。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　(2)非甾体抗炎药</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　非甾体抗炎药，简称</span>NSAID，也是引起胃溃疡的常见病因。溃疡形成及其并发症发生的危险性除与服用NSAID种类、剂量、疗程有关外，尚与高龄、同时服用抗凝血药、糖皮质激素等因素有关。NSAID通过削弱黏膜的防御和修复功能而导致消化性溃疡发病。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　(3)胃酸和胃蛋白酶</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　胃溃疡</span>(GU)患者基础酸排量(BAO)及MAO多属正常或偏低，对此，可能解释为GU患者多伴多灶萎缩性胃炎，因而胃体壁细胞泌酸功能已受影响。少见的特殊情况如胃泌素瘤患者，极度增加的胃酸分泌的攻击作用远远超过黏膜的防御作用，而成为溃疡形成的起始因素。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　(4)吸烟</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　吸烟影响溃疡愈合和促进溃疡复发，其确切机制未明，可能与吸烟增加胃酸分泌、减少十二指肠及胰腺碳酸氢盐分泌、影响胃十二指肠协调运动、黏膜损害性氧自由基增加等因素有关。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　(5)应急反应</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">　　急性应激可引起应激性溃疡，但在慢性溃疡患者，情绪应激和心理障碍的致病作用却无定论。</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\">&nbsp;</span></p><p style=\"line-height:200%\"><span style=\"font-family: 宋体;line-height: 200%;font-size: 16px\"><span style=\"font-family:宋体\">　　总之，胃溃疡是一种多因素疾病，其中幽门螺杆菌感染和服用</span>NSAID是已知的主要病因，溃疡发生是黏膜侵袭因素和防御因素失平衡的结果，胃酸在溃疡形成中起关键作用。</span></p><p><br/></p>","barId":"1922","topicTypeId":null,"topicThemeId":"1026","readLevel":0,"files":"","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":2}],"pageObj":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":5,"pageNumber":0,"totalPage":0,"totalRow":0},"loginUser":null,"replies":[],"forumUserFans":null,"herfList":[],"only":"0","topic":{"id":"3984","isDel":0,"createAt":1486369521127,"createBy":"b1a5ca4ddfad11e6a61c00163e04584d","createName":"小海螺","updateAt":0,"updateBy":null,"updateName":null,"userId":"b1a5ca4ddfad11e6a61c00163e04584d","title":"胃溃疡的早期症状，胃溃疡有什么表现？得了胃溃疡会怎样","content":"<p style=\"text-align:center\"><img src=\"http://01luntan.com/ly_img/uimgs/1486369654781.jpg\" title=\"1486369654781.jpg\" alt=\"bki-20131230155657-421478773.jpg\"/></p><p style=\";margin-bottom:0;text-indent:32px;background:white;vertical-align:baseline\"><strong><span style=\"font-size:13px;color:#333333\">一、症状：</span></strong></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">1</span></strong><strong><span style=\"font-size:12px;color:#333333\">、</span></strong><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">&nbsp;</span></strong><strong><span style=\"font-size:12px;color:#333333\">胃溃疡的临床表现有</span></strong><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">3</span></strong><strong><span style=\"font-size:12px;color:#333333\">个特征：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">①</span><span style=\"font-size:11px;color:#333333\">慢性过程。少则几年，多则</span><span style=\"font-size:11px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">10</span><span style=\"font-size:11px;color:#333333\">余年或更长。</span><span style=\"font-size:11px;color:#333333\">②</span><span style=\"font-size:11px;color:#333333\">周期性。病程中常出现发作期与缓解期交替出现。</span><span style=\"font-size:11px;color:#333333\">③</span><span style=\"font-size:11px;color:#333333\">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</span><span style=\"font-size:11px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">;</span><span style=\"font-size:11px;color:#333333\">伴或不伴</span><span style=\"font-size:11px;color:#333333;border:none windowtext 1px;padding:0\">呕吐</span><span style=\"font-size:11px;color:#333333\">、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、</span><span style=\"font-size:11px;color:#333333;border:none windowtext 1px;padding:0\">幽门梗阻</span><span style=\"font-size:11px;color:#333333\">而为首发症状。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">2</span></strong><strong><span style=\"font-size:12px;color:#333333\">、上腹部隐痛不适：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">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。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">3</span></strong><strong><span style=\"font-size:12px;color:#333333\">、恶心、呕吐：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">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。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">4</span></strong><strong><span style=\"font-size:12px;color:#333333\">、反酸、嗳气、腹泻：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">反酸亦提示溃疡可能处于活动期。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:12px;font-family:&#39;microsoft yahei&#39;,&#39;serif&#39;;color:#333333\">5</span></strong><strong><span style=\"font-size:12px;color:#333333\">、出血、穿孔：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">发生出血、穿孔后都有其特殊的临床表现，见并发症一节。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:13px;color:#333333\">二、体征：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span style=\"font-size:11px;color:#333333\">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</span><span style=\"font-size:11px;color:#333333;border:none windowtext 1px;padding:0\">胃癌</span><span style=\"font-size:11px;color:#333333\">相鉴别。</span></p><p style=\";text-indent: 32px;vertical-align: baseline;font-stretch: inherit;line-height: inherit;background: white\"><strong><span style=\"font-size:13px;color:#333333\">三、诊断标准：</span></strong></p><p style=\";text-indent: 32px;line-height: 20px;vertical-align: baseline;font-stretch: inherit;background: white\"><span 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