十二指肠炎

Objective:To investigate extent of lesion, grading criteria of nonspecific duodenitis and their association with duodenal ulceration.

目的 ：探讨非特异性十二指肠炎的病变程度、分级方法及其与十二指肠溃疡病间的关系。

Results:There were many symptoms of upper gastrointestinal tract that were not instinctive in the 41 patients (28 esophagitis, 4 gastritis, 9 duodenitis ).

结果 ：霉菌性上消化道炎 41例中，食管炎 2 8例，胃炎 4例，十二指肠炎 9例，内镜主要表现是散在糜烂及白斑，目前常用的抗霉菌类药疗效较好。结论：霉菌性上消化道炎有多种上消化道症状，但无特征性。

Additional pathologic findings included: chronic peptic duodenitis (6 out of 17, 35%), active duodenitis (1 out of 17, 6%), and celiac-like features (2 out of 17, 12%) in the duodenum; chemical gastropathy (3 out of 18, 17%), active chronic gastritis without Helicobacter pylori (2 out of 18, 11%), and erosion (1/18,6%) in the stomach; reactive epithelial change (3 out of 7, 43%), active esophagitis (3 out of 7, 43%), ulceration (2 out of 7, 29%), and erosion (1 out of 7, 14%) in the esophagus. Serum MPA levels were available in 7 patients, 6 of whom had abnormal duodenal apoptotic counts.

其他病理特点包括：十二指肠：慢性消化性十二指肠炎（17例中有6例，35%）、活动性十二指肠炎（17例中有1例，6%）和乳糜泻样特征（17例中有2例，12%）；胃：化学性胃病（18例中有3例，17%）、慢性活动性胃炎且无HP感染（18例中有2例，11%）和糜烂（18例中有1例，6%）；食管活检：反应性上皮改变（7例中有3例，43%）、活动性食管炎（7例中有3例，43%）、溃疡（7例中有2例，29%）和糜烂（7例中有1例，14%）。7例患者提供了其血清MPA浓度，其中有6例的十二指肠细胞凋亡计数异常。

Results: All the 14 cases showed hypoechoic masses at the right of pancreas head or inferior to pancreas head. Thirteen cases were diagnosed as duodenal tumor by ultrasonography, another one was diagnosed as enlarged lymphnode. Of all the 14 cases, 13 cases were duodenal tumor demonstrated by the surgical and histological examination, one case was diagnosed as duodenitis by duodenoscopy.

结果：超声检查14例均表现为胰头附近的低回声肿块，13例超声诊断为十二指肠肿瘤，1例诊断为腹膜后肿大淋巴结。14例中，13例经手术病理证实为十二指肠肿瘤，1例经十二指肠镜诊断为十二指肠炎。

Methods:90 patients with HP associated antrum gastritis, duodenitis,antrum gastitis with duodenitis were divided into spleen deficiency group and damp heat in the spleen group.Each group has 45 patients.

对90 例HP感染的胃窦炎、十二指肠炎、胃窦炎并十二指肠炎患者进行中医辨证分型，即脾虚证与湿热蕴脾证各45 例，观察二证型对三联疗法根除HP效果的影响。

About 1781 cases recently suffering from acute upper gastrointestinal bleeding were divided according to their ages into 3 groups and analysed. In the old-aged group the causative diseases were arranged in order of incidence as follows, gastric cancer, gastritis and gastric ulcer. Gastritis, duodenitis and duodenal ulcer were in the order of incidence in the middle-aged group.

本文总结 1，781例近期内有上消化道大出血的内窥镜检查资料，并按不同年龄组进行对比，发现老年组以胃癌出血占首位，胃炎其次，胃溃疡为第三位；中年组胃炎出血占首位，依次为十二指肠溃疡、胃溃疡；青年组以胃炎占首位，依次为十二指肠溃疡、十二指肠炎。

Results Among the elderly patients, 73.9% was caused by acid peptic diseases (duodenal ulcer, gastric ulcer, gastritis, duodenitis , esophagitis ) and 14.5% by gastric carcinoma.

结果 老年人上消化道出血病因中主要为酸相关疾病（十二指肠溃疡、胃溃疡、胃炎、十二指肠炎、食管炎）71例，占73.9%；胃癌14例，占14.5%。

Result:There were 166 cases that were abnormal in 175 cases ,the incidence of peptic ulcer was 15.43％, the incidence of duodenal ulcer was higher than gastric ulcer in children.the incidence of chronic gastritis and chronic duodenitis was 94.86%, the incidence of chronic gastritis was significantly higher than chronic duodenitis, chronic superficial gastritis, bile reflux gastritis see most, chronic erosion hemorrhage of chronic gastritis and chronic duodenitis was not uncommon.

结果：175例胃镜检查有异常者为166例，消化性溃疡发生率为15.43%，小儿十二指肠溃疡发生率高于胃溃疡，并以十二指肠球部溃疡多见，胃溃疡以胃窦溃疡多见，胃、十二指肠炎的发生率为94.86%，小儿慢性胃炎发生率明显高于慢性十二指肠炎，其中以慢性浅表性胃炎、胆汁返流性胃炎最多见，慢性糜烂出血性胃、十二指肠炎也不少见，幽门螺杆菌检测阳性率为59.04%，其中消化性溃疡病例检测幽门螺杆菌均为阳性。

Result:There were 166 cases that were abnormal in 175 cases ,the incidence of peptic ulcer was 15.43％, the incidence of duodenal ulcer was higher than gastric ulcer in children.the incidence of chronic gastritis and chronic duodenitis was 94.86%, the incidence of chronic gastritis was significantly higher than chronic duodenitis, chronic superficial gastritis, bile reflux gastritis see most, chronic erosion hemorrhage of chronic gastritis and chronic duodenitis was not uncommon. Helicobacter pylori testing positive rate of 59.04%, peptic ulcer cases were all positive detection of helicobacter pylori.

结果：175例胃镜检查有异常者为166例，消化性溃疡发生率为15.43%，小儿十二指肠溃疡发生率高于胃溃疡，并以十二指肠球部溃疡多见，胃溃疡以胃窦溃疡多见，胃、十二指肠炎的发生率为94.86%，小儿慢性胃炎发生率明显高于慢性十二指肠炎，其中以慢性浅表性胃炎、胆汁返流性胃炎最多见，慢性糜烂出血性胃、十二指肠炎也不少见，幽门螺杆菌检测阳性率为59.04%，其中消化性溃疡病例检测幽门螺杆菌均为阳性。

Fasting and postprandial serum gastrin levels were determined by radioimm-unoassay in each 30 cases of normal gastroduodenal mucosa, chronic active gastroduodenitis, and active duodenal ulcer.

活检证实的正常胃、十二指肠粘膜，慢性活动性胃、十二指肠炎和活动性十二指肠溃疡各30例。胃窦部活检标本幽门螺杆菌尿素酶试验阳性者分别为16例，30例和30例。

But we don't care about Battlegrounds.

但我们并不在乎沙场中的显露。

Ah! don't mention it, the butcher's shop is a horror.

啊！不用提了。提到肉，真是糟透了。