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如何辨治肝原性胃病?
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作者 陶春祥 《中医杂志》 CSCD 北大核心 2002年第9期714-714,共1页
答:原有胃病者合并肝炎感染,可使胃部病变加重;无胃病者患了病毒性肝炎可以合并胃及十二指肠粘膜病变。肝原性胃病常见表现有胃脘部疼痛,泛酸、嗳气、恶心、呕吐等。有报道,急性黄疸型肝炎进行胃镜检查,发现胃及十二指肠粘膜损伤率在90... 答:原有胃病者合并肝炎感染,可使胃部病变加重;无胃病者患了病毒性肝炎可以合并胃及十二指肠粘膜病变。肝原性胃病常见表现有胃脘部疼痛,泛酸、嗳气、恶心、呕吐等。有报道,急性黄疸型肝炎进行胃镜检查,发现胃及十二指肠粘膜损伤率在90%左右,其中浅表性胃炎和十二指肠球部溃疡发病最高。对15例肝病患者进行胃粘膜活检,证实血清HBV阳性者的胃粘膜内有HBsAg的存在。现代医学研究认为,肝原性胃病的发生机理可能是:(1)由于肝炎病毒的泛嗜性,存在于胃粘膜内,形成免疫复合物在胃及十二指肠粘膜基底微血管沉积造成局部免疫反应;(2)肝功能减退,对激素灭活减少,使内分泌和植物神经功能等紊乱,致胃与十二指肠粘膜受损,幽门螺杆菌易于感染,进一步损害胃粘膜屏障;(3)胃酸与胆汁反流增多,造成胃及十二指肠的炎性改变,出现一系列消化道症状。中医学认为,胃为水谷之海,直通降不宜滞。 展开更多
关键词 中医药疗法 辨证论治 肝原性胃病
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Primary gastrointestinal stromal tumor of the liver: A case report 被引量:4
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作者 Xiao-Li Luo Dan Liu +3 位作者 Jian-Jun Yang Min-Wen-Zheng Jing Zhang Xiao-Dong Zhou 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第29期3704-3707,共4页
We report a case of primary gastrointestinal stromal tumor (GIST) of the liver. A 17-year-old man with a solid mass in the anterior segment of the right liver was asymptomatic with negative laboratory examinations w... We report a case of primary gastrointestinal stromal tumor (GIST) of the liver. A 17-year-old man with a solid mass in the anterior segment of the right liver was asymptomatic with negative laboratory examinations with the exception of positive HBV. Contrast-enhanced ultrasound (CEUS) revealed a hypervascular lesion in the arterial phase and hypoechoic features during the portal and late phases. However, enhanced spiral computed tomography (CT) showed hypoattenuation in all three phases. Following biopsy, immunohistochemical evaluation demonstrated positive CDl17. Different imaging features of primary GISTs of the liver are due to pathological properties and different working systems between CEUS and enhanced spiral CT. 展开更多
关键词 Contrast-enhanced ultrasound Enhancedspiral computed tomography Gastrointestinal stromaltumor LIVER
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