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[乳糖不耐受:病理生理学、临床症状、诊断与治疗]

[Lactose intolerance: pathophysiology, clinical symptoms, diagnosis and treatment].

作者信息

Hutyra Tomasz, Iwańczak Barbara

机构信息

Medical University of Wrocław, Department of Pediatrics, Poland.

出版信息

Pol Merkur Lekarski. 2009 Feb;26(152):148-52.

Abstract

Lactose malabsorption and milk products intolerance symptoms are the most common alimentary tract disorders. Lactose intolerance is a result of lactase deficiency or lack of lactase and lactose malabsorption. Three types of lactase deficiency were distinguished: congenital, late-onset lactase deficiency and secondary lactase deficiency. Lactose intolerance means the appearance of clinical gastrointestinal symptoms after ingestion of lactose. To the clinical symptoms of lactose intolerance belongs: nausea, vomiting, abdominal distension, cramps, flatulence, flatus, diarrhea and abdominal pain. The diagnosis of lactose intolerance is based on the breath hydrogen test and analysis of lactase activity in the small intestine mucosa. Dietary treatment eliminates clinical symptoms.

摘要

乳糖吸收不良和乳制品不耐受症状是最常见的消化道疾病。乳糖不耐受是乳糖酶缺乏或缺乏乳糖酶以及乳糖吸收不良的结果。乳糖酶缺乏可分为三种类型:先天性、迟发性乳糖酶缺乏和继发性乳糖酶缺乏。乳糖不耐受是指摄入乳糖后出现临床胃肠道症状。乳糖不耐受的临床症状包括:恶心、呕吐、腹胀、痉挛、肠胃气胀、肠胃胀气、腹泻和腹痛。乳糖不耐受的诊断基于呼气氢试验和小肠黏膜乳糖酶活性分析。饮食治疗可消除临床症状。

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