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胆汁反流性胃炎113例分析

Analysis of 113 Cases of Bile Reflux Gastritis

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【作者】 周大业李方儒刘淑云黄象谦

【Author】 Zhou Dayie, et al

【机构】 天津市南开医院内科天津市南开医院内科天津医学院附属医院

【摘要】 <正> 胆汁反流性胃炎是由于碱性肠液反流入胃所造成。许多作者报告胃切除术后本病发病率甚高。随着纤维胃镜的广泛开展,发现未行胃切除术的患者发病率也不低。天津南

【Abstract】 113 cases of reflux gastritis were reported and gastrofiberscopic findings of these patients were analyzed. In 101 patients (88.5%), the reflux phenomenon was shown near the pylorus, 87 patients (77%) had yellow-stained mucous lake. 96 patients (85%) were found to have superficial gastritis, 16(14.1%) had atrophic gastritis and one (0.9%) hypertrophic gastritis. Of 77(68.1%) cases the foci of gastritis were limited at the antra. 65(57.4%) patients were complicated with duodenal diseases, 11(9.7%) with pyloric deformity and 19(17.2%)with pyloric edema. All cases were classified into three types according to the theory of "differentiation of manifestations" by traditional Chinese medicine, namely: "Disharmony of the liver and stomach" 76 cases (67.3%), "Weakness of the spleen and stomach" 24 cases (21.2%) and "Stagnancy of the liver and deficiency of the spleen" 13 cases (11.5)%. 66 patients were treated with herbal decoctions for 1~3 months with 90.9% relieve of symptoms, 71.4% effective for the reflux and 47.6% for the gastritis. With the reference of literature review the pathogenesis of this trouble was discussed.

  • 【文献出处】 天津医药 ,Tianjin Medical Journal , 编辑部邮箱 ,1984年03期
  • 【被引频次】29
  • 【下载频次】67
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