Gütz H J
Z Gesamte Inn Med. 1975 Oct 1;30(19):653-7.
Though the proper genesis of peptic ulcer is still unknown, one can proceed from the fact that the cause of the development of the defect is a disturbance of the equilibrium between aggressive and defensive factors on the surface of the stomach. It is taken the view that an uncomplicated ulcus duodeni and ulcus ventriculi should be treated in the outpatient department. Strong diet prescriptions are certainly not necessary, reduction of the consumption of nicotine and avoidance of nutrients increasing secretion and individually incompatible is, however, necessary. In duodenal ulcer anticholinergic remedies and antacids are the basis of the therapy as before; other principles of treatment are only of subordinated significance. In ulcus ventriculi a reduction of quality and quantity of the gastric mucus play, perhaps, an etiologic role. Since, apart from this, a reflux of bile takes place, the derivations of the Succus liquiritiae which further the formation of mucus and the Cerucal furthering the peristalsis are to be regarded as most essential therapeutic remedies. But principle of the therapy of ulcer must always be not only to treat the diseased organ, but to try to influence therapeutically on the whole man with his conflicts which are sometimes difficult to be solved and which manifest themselves only in the gastro-intestinal tract.
尽管消化性溃疡的确切病因仍不明确,但我们可以基于这样一个事实展开探讨,即溃疡形成的原因是胃表面攻击因素与防御因素之间的平衡失调。有一种观点认为,单纯性十二指肠溃疡和胃溃疡应在门诊治疗。当然,严格的饮食规定并非必要,但减少尼古丁摄入以及避免食用会增加胃酸分泌和个人不耐受的食物却是必要的。对于十二指肠溃疡,抗胆碱能药物和抗酸剂仍是治疗的基础;其他治疗原则仅具有次要意义。在胃溃疡中,胃黏液质量和数量的减少可能起病因作用。除此之外,由于胆汁反流发生,促进黏液形成的甘草汁衍生物以及促进蠕动的赛鲁卡尔应被视为最主要的治疗药物。但溃疡治疗的原则必须始终不仅是治疗患病器官,而且要尝试从治疗角度影响整个患者,因为他的冲突有时难以解决,且仅在胃肠道表现出来。