【摘要】 目的探讨胃石症的临床特征、诊断及果胶酶疗效。方法回顾性分析经胃镜证实12例胃石患者资料。患者口服果胶酶1 g,1次/d,并口服奥美拉唑20 mg,2次/d。分别于治疗2周后、1月后复查胃镜,治疗前后查肝肾功能、血常规、尿常规、心电图。结果2周后胃镜检查8例胃石完全消失,4例1月后胃镜检查胃石完全消失。1月后溃疡痊愈,病人原有的症状体征完全消失。治疗过程中患者均出现恶心,胃纳差,4例腹痛较前加重伴呕吐。肝肾功能、血常规、尿常规、心电图治疗前后无明显变化。结论食物种类,胃酸和胃动力是形成胃石主要因素。由于果胶酶治疗胃石症方法简便,安全,高效,因此是目前治疗胃石症的有效方法之一。更多还原

【Abstract】 Objective To investigate the clinical features and diagnosis of gastrolithiasis and the efficacy of pectinase.Methods The clinical data of 12 cases with gastrolithiasis confirmed by endoscopy was analyzed retrospectively.The patients were administered with oral pectinase 1 g once daily and Omeprazole 20 mg bid.The endoscopy was performed after 2 weeks and one month of treatment.The function index of liver and kidney,routine examination of blood and urine and ECG were taken after the treatment.Results The gastrolith completely disappeared in 8 cases after two weeks,and another 4 cases after one month.The gastric ulcer was cured and the original symptoms and signs completely disappeared in one month.All cases were with nausea and poor appetite,and 4 cases with increasing abdominal pain and vomiting in the treatment course.Liver and kidney function,routine index of blood and urine and ECG showed no significantly change before and after the treatment.Conclusions Food types,gastric acid and gastric motility is the major affecting factors for gastrolithiasis.The treatment of gastrolithiasis with pectinase is simple,safe and effective.更多还原