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胃十二指肠炎

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Objective: To study the incidence of chronic gastritis chronic duodenitis, and peptic ulcer in children.

目的:了解小儿慢性胃、十二指肠炎及消化性溃疡临床发病情况。

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。

At present the incidence of chronic gastritis ,chronic duodenitis, and peptic ulcer is high in children ,gastrointestinal symptoms in children with attention should be paid gastroscopy, it is necessary to routinely check helicobacter pylori.

目前小儿慢性胃、十二指肠炎及消化性溃疡发病率高,对有消化道症状的小儿要重视胃镜检查,要常规作幽门螺杆菌检测。

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。

These diseases detected were esophageal varices, erosive gastritis, bile reflux gastritis, xanthoma, duodenitis, duodenal ulcer, small intestinal cancer, small intestinal angiodysplasia, Crohn's disease, intestinal polyp, intestinal erosion and congestion, diverticula, colon melanosis and colonic cancer.

检出了15种病变:食道静脉曲张、糜烂性胃炎、胆汁返流性胃炎、胃黄色瘤、十二指肠炎、十二指肠溃疡、小肠肿瘤、小肠血管畸形、克罗恩病、小肠单发及多发息肉、非特异性小肠炎、吸收不良综合征、小肠憩室、结肠黑病变、结肠癌。

Results The major cause was peptic ulcer, the secondary was chronic gastritis in all cases, the next one was esophageal varix for non-old patients and tumour for old patients.

结果 消化性溃疡为上消化道出血的主要病因,其次为慢性胃十二指肠炎和食管炎以及恶性肿瘤、食管胃底静脉曲张及Mallory-Weiss综合征。

objective: to study the clinical characteristics of non-steroidal anti-inflammatory drugs associated gastroduodenal ulcer bleeding in the aged.

目的:研究非甾体抗炎药致老年人相关性胃十二指肠溃疡并发出血的临床特点。

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。

Esophageal reflux sex phlogistic, acute gastritis, superficial and atrophic gastritis, gastroduodenal, ulcers, gastroptosis, coronary heart disease, rheumatic, cough and asthma, etc.

反流性食道炎、急性胃炎、浅表及萎缩性胃炎、胃十二指肠、溃疡病、胃下垂、冠心病、风心病、咳喘等。

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