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自我诊断:(1)上腹部饱胀、隐痛、嗳气是消化系统疾病的常见症状,以胃炎为最多见,其次为胆囊炎、胰腺炎,心脏病导致的心功能不全等也可引起上述症状。(2)胃炎是指胃黏膜的炎症,分急性和慢性两种,病变可为弥漫性,也可为局限性。胃镜检查不仅可直接窥视胃黏膜的变化,而且可钳取少许胃黏膜做病理、细胞学、细菌学检查。例如,可明确幽门螺杆菌(简称 HP)存在与否,以及有否溃疡、肿瘤等。(3)急性胃炎系指由不同病因引起的胃黏膜急性炎症,临床上可分为急性单纯性胃炎、急性糜烂性胃炎、急性腐蚀性胃炎。急性单纯性胃炎在临床上最为常见,常见诱发因素有:过冷、过热的食物或饮料,浓茶、咖啡、粗糙的食物、药物刺激(如阿司匹林),还有暴饮暴食、情绪波动、应激状态,以及某些细菌,如沙门氏细菌、葡萄球菌等感染;急性糜烂性胃炎通常由于烈酒、长期应用激素(如强的松)、非甾体类药物(如保太松),以及严重感染、烧伤、大手术等引起;急性腐蚀性胃炎通常由于意外吞服来苏儿、灭鼠药、硝酸、盐酸、硫酸、强碱等引起。(4)急性单纯性胃炎多数急性起病,症状可轻可重,主要表现为上腹部饱胀、隐痛、嗳气、食欲减退、恶心、呕吐,严重者呕吐物略带血性。由沙门氏细菌、葡萄球菌及其毒索引起者,常于进食后数小时或24小时内发病,且多伴腹泻、发热、白细胞总数升高。严重者可有脱水、酸中毒或休克等。个别病例需与早期阑尾炎、急性胆囊炎、急性胰腺炎相鉴别。
Self-diagnosis: (1) abdominal fullness, pain, belching is a common symptom of digestive diseases, with gastritis is the most common, followed by cholecystitis, pancreatitis, heart failure caused by heart failure can also cause the above symptoms. (2) Gastritis refers to the inflammation of gastric mucosa, divided into two kinds of acute and chronic, lesions can be diffuse, but also for limitations. Gastroscopy can not only directly peep gastric mucosal changes, and can clamp a small amount of gastric mucosa pathology, cytology, bacteriological examination. For example, Helicobacter pylori (HP) can be identified for the presence or absence of ulcers, tumors, and the like. (3) Acute gastritis refers to the acute inflammation of gastric mucosa caused by different causes, which can be divided into acute simple gastritis, acutely erosive gastritis and acutely corrosive gastritis. Acute simple gastritis is clinically the most common, common inducing factors are: overcooled, overheated food or drink, tea, coffee, rough food, drug stimulation (such as aspirin), as well as overeating, mood swings should be Irritability, and some bacteria such as Salmonella, Staphylococcus aureus and other infections; acute erosive gastritis usually due to spirits, long-term use of hormones (such as prednisone), non-steroidal drugs Severe infections, burns, major surgery and other causes; acute corrosive gastritis is usually due to accidental swallow to suer, rodenticides, nitric acid, hydrochloric acid, sulfuric acid, alkali and other causes. (4) Acute simple gastritis Most acute onset, the symptoms can be mild to severe, mainly manifested as abdominal fullness, dull pain, belching, loss of appetite, nausea, vomiting, severe vomit slightly bloody. Caused by Salmonella, Staphylococcus aureus and its drug-induced, often within hours or 24 hours after eating onset, and more with diarrhea, fever, increased total white blood cells. In severe cases, there may be dehydration, acidosis or shock. Individual cases with early appendicitis, acute cholecystitis, acute pancreatitis phase identification.