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Hot diet, hot tea, dryrigidityfood, pickledvegetables, fast hot diet, cigaretter smoking, alcoholic drinking, family history of esophageal cancer had great loading in the first common factor; the second common factors were lower body mass index, education, occupation, economic income; the third common factors were inhabitancy landform, polluted water drinking; the forth common factors were battercake, pickledfoods, tinpot vinegar, mildewedfoods; the fifth common factors were tea drinking, greenness vegetables fruit, bean products and garlic and gingers and the sixth common factors were upperalimentary canal diseases, chronic oesophagus inflammation, pharyngitis, stomatitis and decayed tooth.

结果 34项影响因素间存在6个主要公因子,其中,第一公因子上因子载荷较大的有喜烫食、烫茶、干硬食物、口味重、热食且快、吸烟、饮酒、及家庭关系、脾气性格、家族史,第二公因子上因子载荷较大的有BMI、文化程度、职业、经济收入,第三公因子上因子载荷较大的有居住地形、饮水污染,第四公因子上因子载荷较大的有煎饼、腌制品、醋、发霉食物,第五公因子上因子载荷较大的有饮茶、蔬菜、水果、豆制品、姜、大蒜,第六公因子上因子载荷较大的有消化道病史、慢性食管炎、咽炎、口腔溃疡、龋齿。

Spontaneous rupture of esophagus also known as Boerhaave's syndrome, is an extremely severe thoracic disease with high mortality, and is difficult to diagnose because of its rarity and frequent confusion with other severe clinical conditions, such as acute myocardial infarction, perforated peptic ulcer and acute pancreatitis.

自发性食管破裂,又称Boerhaave综合征,是临床上一种严重的胸科急症,因临床少见且易与其他疾病,如急性心肌梗死、消化性溃疡穿孔、急性胰腺炎等混淆,临床诊断较困难,死亡率高。

The purpose of the present investigation is to evaluate the distensibility of both ascending and descending aorta in different type of aortic dissection by comprehensive transthoracic echocardiography and transesophageal echocardiography.

本研究在上一研究的基础上,联合应用常规经胸超声和经食管超声,对不同类型主动脉夹层(DeBakeyⅠ型夹层12例及Ⅲ型夹层11例)之不同部位主动脉扩张性进行更进一步深入对比研究,试图揭示主动脉夹层血管弹性异常的根本原因。

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。

Result:①The actual length of upper and lower normal esophageal tissue after having been made into pathological giant sections in 52 patients, were 30±14% and 44±19% of that measured in the operation.

结果:①52例食管癌病理标本制成病理大切片后,癌上食管平均收缩为术中长度的30±14%;癌下食管平均收缩为术中长度的44±19%。

In the palliative treatment of gastric adenocarcinoma, it was 2.50; in endoscopic hemostasis, it was 1.23; in the treatment of colorectal polypi, it was 1.15, in the treatment of upper gastrointestinal polypi, it was 1.03, in the management of self-expand stent overgrowth or tumor stenosis, it was 1.17; in the ablation of Barrett's esophagus, it was 1.13; in the ablation of gastric dysplasia, gastritis verrucosa, gastric xanthelasma and gastric or duodenal liparomphalus, only 1 session was needed.

其中胃癌的姑息治疗,平均需要接受2.50次;用于止血治疗,需要1.23次;治疗结肠直肠息肉,需要1.15次;治疗上消化系息肉,需要1.03次;治疗食管支架置入后再狭窄,需1.17次;用于Barrett食管的消融治疗,需1.13次;治疗胃不典型增生、疣状胃炎、胃黄色瘤及胃和十二指肠脂肪瘤,均仅需1次治疗。

Objective To discuss the methods and effects of the treatment under endoscope and the courses of massive hemorrhage of upper digestive tract after gastrectomy and esophagectomy.Methods Emergency endoscope ex-amination were carried out in20massive hemorrhage clients after gastrectomy and esophagectomy,after exposed and washed the bleeding part by cold0.9%NS,1∶10000adrenaline and hypertonic saline were injected in perifocal sub-mucosa.After stop bleeding and before move back the endoscope,spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

目的 探讨食管、胃切除术后上消化道出血的原因及内镜下治疗的方法、效果方法对食管、胃切除术后引起大出血的患者行急症内镜检查,用冰冻生理盐水100ml+去甲肾上腺素8mg反复冲洗,暴露出血部位后在病灶周围黏膜下注射1∶10000肾上腺素及高渗盐水,无出血后,退镜于出血部位喷洒云南白药及凝血酶,防止再次出血。

Background: Oesophageal acid infusion induces enhanced pain hypersensitiity in non-acid exposed upper oesophagus in patients with non-cardiac chest pain, thus suggesting central sensitisation contributes to isceral pain hypersensitiity in functional gut disorders.

背景:非心源性胸痛的患者,在无酸暴露的上段食管因食管酸灌注可诱导痛觉高敏感,这提示在功能性肠道机能紊乱中,中枢致敏可导致内脏痛觉高敏感。

Hot diet, hot tea, dry rigidity food, pickled vegetables, fast hot diet, cigaretter smoking, alcoholic drinking, family history of esophageal cancer had great loading in the first common factor; the second common factors were lower body mass index, education, occupation, economic income; the third common factors were inhabitancy landform, polluted water drinking; the forth common factors were batter cake, pickled foods, tinpot vinegar, mildewed foods; the fifth common factors were tea drinking, greenness vegetables fruit, bean products and garlic and gingers and the sixth common factors were upper alimentary canal diseases, chronic oesophagus inflammation, pharyngitis, stomatitis and decayed tooth.

结果 34项影响因素间存在6个主要公因子,其中,第一公因子上因子载荷较大的有喜烫食、烫茶、干硬食物、口味重、热食且快、吸烟、饮酒、及家庭关系、脾气性格、家族史,第二公因子上因子载荷较大的有BMI、文化程度、职业、经济收入,第三公因子上因子载荷较大的有居住地形、饮水污染,第四公因子上因子载荷较大的有煎饼、腌制品、醋、发霉食物,第五公因子上因子载荷较大的有饮茶、蔬菜、水果、豆制品、姜、大蒜,第六公因子上因子载荷较大的有消化道病史、慢性食管炎、咽炎、口腔溃疡、龋齿。

Single-factor Logistic regression analysis indicated that gender, age, degree of labour intensity, on night or shift, status of marriage were risk factors of GERD.

单因素Logistic回归分析发现:性别、年龄、体力劳动强度、是否上夜班、婚姻状况是胃食管反流病的危险因素;多因素Logistic回归分析发现:年龄、是否上夜班、体力劳动强度、婚姻状况、进食过饱、常食油腻食物、常饮浓茶、常进甜食、便秘等可能是危险因素。

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