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50例萎缩性胃炎的分型探讨

CLASSIFICATION OF ATROPHIC GASTRITIS

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【作者】 王年吉沈国钧段苏友李声铿常愈明连冬友武建国冯根宝

【Author】 Wang Nianji et al General Hospital of Nanjing Command. PLA

【机构】 南京部队总医院消化科南京部队总医院放射免疫室南京部队总医院临床免疫室南京部队总医院临床免疫室

【摘要】 <正> 近年来,随着免疫学和胃肠道激素研究工作的进展,应用免疫学、放射免疫测定血清胃泌素和胃液分析等方法对慢性萎缩性胃炎做了大量的研究工作,发现有的萎缩性胃炎病人血内能检出胃壁细胞抗体(Parietal Cell Antibody,

【Abstract】 This paper reports on 50 cases of atrophic gastritis which was confirmed by gastroscopy and biopsy. Gastric analysis was performed; fasting serum gastrin and parietal cell antibodies (PCAb) were determined in all these patients. There were atrophic lesions in the antrum in all these cases. In 78 per cent of these cases, only the antrum was involved. In 20 per cent, there was also involvement of the lesser curvature. Involvement of antrum and both the greater and lesser curvatures occurred in 2 per cent. Gastric analysis revealed no acidity in only one case by maximal acid output (MAO). Fasting serum gastrin was 76.86±46.5 Pg/ml. PCAb was positive in 6 per cent as compared with 9 per cent in the 45 normal controls. According to the above-mentioned results, all the 50 cases of atrophic gastritis could be classified as B type. PCAb is of no value in the classification of gastritis.

  • 【文献出处】 解放军医学杂志 ,Medical Journal of Chinese People’s Liberation Army , 编辑部邮箱 ,1982年03期
  • 【被引频次】2
  • 【下载频次】17
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