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笔者对门诊病人作了一次幽门螺杆菌(Hp)感染的调查,并对感染者进行了治疗和观察,以期对Hp在慢性胃炎(CG)和消化性溃疡(PU)病因学上的地位作一次初探。一、对象与方法:因上腹不适就诊者128例,年龄17～65岁。全部做胃镜检查作出PU诊断;同时根据全国胃癌防治协作组制定的标准,镜检窦部粘膜H-E染色切片进行CG诊断;另外,根据窦部粘膜Christensen尿素酶试验及Warthin-Starry银染色切片找Hp,两者均阳性为Hp阳性,两者均阴性为Hp阴性。Hp阳性者均予丽珠得乐、甲硝唑及羟氨苄青霉素三联抗Hp治疗1个疗程。二、结果:128例中检出单纯CG 56例、另有合并活动性PU 42例、胃窦粘膜组织学正常30例,Hp
The author made a survey of outpatients with Helicobacter pylori (Hp) infection, and treated and observed in patients with Hp in the chronic gastritis (CG) and peptic ulcer (PU) etiology once Preliminary exploration. First, the object and method: Due to upper abdominal discomfort treatment of 128 cases, aged 17 to 65 years. All done gastroscopy to make PU diagnosis; the same time, according to the National Gastric Cancer Prevention and Treatment Group developed standards, microscopic examination of sinus mucosa HE stained sections for CG diagnosis; addition, according to sinus mucosa Christensen urease test and Warthin-Starry silver staining sections to find Hp , Both positive for Hp positive, both negative for Hp negative. Hp-positive patients were given Lizhu Dele, metronidazole and amoxicillin triple anti-Hp treatment of a course of treatment. Second, the results: CG 128 cases were detected in only 56 cases, and another with active PU in 42 cases, 30 cases of normal gastric mucosa histology, Hp