Chronic Gastritis 慢性胃炎

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Chronic gastritis is a chronic gastric lesion, pathologically mucosa. Possibly related to administration of irritating drugs and food, bile regurgitation, buccal inflammation or autoimmunity.

Chronic gastritis can be divided into two categories, primary and secondary. The former is further categories into superficial, atrophic and hypertrophic type; the latter often complicates gastroduodenal ulcer and gastric cancer. Chronic gastritis occurs most frequent in the middle-aged people.

Main points of diagnosis:

1 The chief symptoms are chronic reveals mild but diffuse tenderness in the upper abdominal region pain, fullness and discomfort, belching and acid regurgitation which often occur after meals.

Mild hemorrhage of upper digestive tract may be induced by some precipitating factors in a few cases.

Severe atrophic gastritis may be accompanied with anemia and pathologic leanness.

2 Gastric juice analysis: gastric acid is normal in superficial gastritis, but mostly reduced or gone in atrophic gastritis.


慢性胃炎是以胃粘膜非特異性慢性炎症為主要病理變化的慢性胃部疾病,可能與服用刺激性藥物和食物,膽汁倒流,口腔炎症,自身免疫有關;

慢性胃炎可分為原發性和繼發性两大類,前者又分為淺表性,萎縮性和肥厚性三類,后者多和潰瘍病,胃癌等並存.慢性胃炎好發于中年以上.

診斷要點:

1主要症狀為慢性輕於上腹而彌漫壓痛,飽脹不適,噯氣,泛酸等,以飯后較普遍,部分患者可在某些因素誘發下發生少量上消化道出血,較嚴重的萎縮性胃炎可伴貧血和消瘦.

2 胃液分析:淺表性胃炎胃酸正常,萎縮性胃炎胃酸多減少或缺乏.


慢性胃炎是以胃粘膜非特异性慢性炎症为主要病理变化的慢性胃部疾病,可能与服用刺激性药物和食物,胆汁倒流,口腔炎症,自身免疫有关;

慢性胃炎可分为原发性和继发性两大类,前者又分为浅表性,萎缩性和肥厚性三类,后者多和溃疡病,胃癌等并存.慢性胃炎好发于中年以上.

诊断要点:

1主要症状为慢性轻于上腹而弥漫压痛,饱胀不适,嗳气,泛酸等,以饭后较普遍,部分患者可在某些因素诱发下发生少量上消化道出血,较严重的萎缩性胃炎可伴贫血和消瘦.

2胃液分析:浅表性胃炎胃酸正常,萎缩性胃炎胃酸多减少或缺乏.


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