胃与十二指肠的

objectiveto investigate the diagnosis and treatment of traumatic duodenal rupture.methodthe clinical data of 13 patients with traumatic duodenal rupture hospitalized from may 1991 to december 2008 were retrospectively analyzed,and the material cause was automobile accident mainly.resultsin these 13 patients,after hospitalization,6 cases were diagnosed in 3 hours,4 cases were diagnosed in 24～72 hours,and 3 cases were diagnosed after 72 hours.three cases with duodenal cleft repair,2 cases with duodenal ostomy,2 cases with duodenum and jejunum roux-en-y anastomosis,1 case with duodenal diverticular surgery,1 case with meliorative duodenal diverticular surgery,1 case with duodenal broken ends closure and anastomosis of stomach with jejunum,1 case with duodenal distal closure and anastomosis of duodenal local with jejunum,and 2 cases with resections of pancreas duodenum.after the operation,6 cases (46.2%) appeared some complications of wound infection,duodenal fistula,digestive tract hemorrhage,pancreatic fistula,abdomen infection and so on.two cases (15.4%) died from multiple system organ failure and septic shock.conclusionthe early diagnosis and correct operation style selection are the keys for duodenal rupture.

目的：探讨外伤性十二指肠破裂的诊断和治疗方法。方法：回顾分析外伤性十二指肠破裂患者13例临床资料。结果：入院后3 h内确诊6例，24～72 h内确诊4例，72 h后确诊3例。3例行十二指肠裂口修补，2例行十二指肠造瘘，2例行十二指肠空肠roux-en-y吻合，1例行十二指肠憩室化手术，1例行改良十二指肠憩室化手术，1例行十二指肠两断端关闭、胃空肠吻合，1例行十二指肠远端关闭、近端与空肠端侧吻合，2例行胰十二指肠切除术。术后6例(46.2%)出现切口感染、十二指肠瘘、消化道出血、胰瘘或腹腔感染等并发症，2例(15.4%)患者死亡，分别死于多器官系统衰竭和感染中毒性休克。结论：早期诊断与正确的术式选择是成功救治外伤性十二指肠破裂的关键。

Purpose: To study the relation between duodenal ulcer and gastric metaplasia and helicobacter pylori.

目的 ：研究胃上皮化生、幽门螺杆菌与十二指肠溃疡之间的关系。

In order to clone the VIP gene in the gastrointestinal tract from beijing duck, one pair of specific primers to VIP gene was designed and synthesized according to the chick sequence (X80906). Encoding VIP cDNA fragments were amplified by RT-PCR from the total RNA in the Proventriculus, the Duodenum and the Jejunum of Beijing duck. Their PCR products were ligated into pGEM-T easy vector, which was transformed into E. coil JM109. Positive bacteria clones were screened and identified by PCR method and digested with the double restriction enzyme EcoRⅠ. The sequence of VIP gene fragment was also determined and analyzed.

为从北京鸭胃肠道中扩增血管活性肠肽基因，根据鸡VIP基因（GenBank登录号X80906），设计了一对简并引物，从北京鸭腺胃、十二指肠和空肠提取总RNA，通过反转录－聚合酶链反应扩增，将从腺胃、十二指肠和空肠中扩增出的产物克隆到pGEM-Teasy载体上，导入大肠杆菌JM109，阳性克隆经双酶切鉴定后测序，将测序结果与鸡和鹅（GenBank登录号为DQ023161）的VIP基因进行同源性比较。

The double pylorus is a rare condition consisting of fistulous communication between the gastric antrum and the duodenum.

摘要双幽门是一种较少见的情形，是由胃之前庭与十二指肠之间因廔管形成沟通所组成。

Experiments were conducted with fertile chicken eggs to determine the effects ofthyroxine and thiouracil on chicken digestive enzyme activity,hatchability and yolk-absorption.

分别测定孵化第17d、第19d及1、5、10、15、20日龄小鸡的腺胃、十二指肠与胰腺匀浆消化酶的活性，检查啄壳迟早、孵化率与雏鸡卵黄囊吸收情况。

CT findings of GP included gas accumulation under the recess of xiphoid,gas accumulation in the area of lesser omentum,gas accumulation under the recess of peritoneal cavity,and seroperitoneum. Conclusion As a non-invasive examination means for abdomen,CT examination can discover whether there is dissociative gas or not and estimate the amount of gas in abdomen more rapidly and exactly.CT can also estimate the position of perforation elementarily.The recess under xiphoid is the first place where the dissociative gas assembles after gastrointestinal perforation.

材料与方法1 一般资料：1999年7月至2 0 0 4年1月我院经CT检查的胃肠穿孔的患者13例，其中男8例，女5例；年龄19～6 5岁，平均4 0 2岁。13例均行腹部CT平扫及站立位腹部X线平片检查，其中6例先行CT检查后行X线检查。8例既往有胃、十二指肠溃疡病史，2例有明显腹部外伤史。10例表现为突发上腹部疼痛、腹肌紧张，1例表现为明显右下腹部疼

Methods The gastral wedge of a relatively small width was rotated to the middle of the posterior wall of gastral wedge,the gastroduodenal anastomosis is approximated in Billroth Ⅰ method.175 consecutive patients were treated in this method.Results Less postoperative complications were recorded.

175例胃大部切除术后患者采用胃十二指肠小吻合口，小弯侧瓣向后旋转，使残胃小弯侧瓣口成为后壁之中点，残胃与十二指肠对端吻合的方法。

The aim of this study was to clarify the clinical features and risk factors of LDA-associated gastroduodenal mucosal injury in both sexes.

这项研究的主要目的在于厘清男女性LDA相关胃、十二指肠黏膜损伤的临床特征与危险因子。

The aim of this study was to clarify the clinical features and risk factors of LDA-associated gastroduodenal mucosal injury in both sexes.

这项研究的主要目的在於厘清男女性LDA相关胃、十二指肠黏膜损伤的临床特徵与危险因子。

Generally understanding the etiology and pathogenesis of gastroduodenal ulcer ; being familiar with the features of Clinical manifestations; mastering the surgical indications; generally understanding surgical methods and surgical complications; being familiar with clinical manifestations, diagnosis and treatment principles of cicatricial pyloric obstruction, acute hemorrhea and acute perforation of gastroduodenal ulcer.

了解胃，十二指肠的解剖生理。了解胃，十二指肠溃疡的病因与发生机制；熟悉临床表现的特点，掌握其手术适应证；了解手术方法和手术并发症；熟悉胃，十二指肠溃疡急性穿孔，急性大出血，瘢痕性幽门梗阻的临床表现，诊断和治疗原则。

In the United States, chronic alcoholism and hepatitis C are the most common ones.

在美国，慢性酒精中毒，肝炎是最常见的。

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如果有任何问题，你可以随时联系我。