十二指肠溃疡与复发性消化不良。
Duodenal ulcer and recurrent dyspepsia.
作者信息
Hodgkin G K, Freedman R, Fuller I, Whewell J
出版信息
Br Med J. 1970 Aug 15;3(5719):368-71. doi: 10.1136/bmj.3.5719.368.
A survey of recurrent indigestion in four general practices (19,619 patients) showed a wide range of dyspeptic complaints. Of these 82 (4.2 per 1,000) already had a proved ulcer and 144 (7.3 per 1,000) had symptoms suggesting a duodenal ulcer and had either not been investigated or had previously had a normal barium meal. A duodenal ulcer was found radiologically in half the men (46 out of 95) but in only 16% of the women (8 out of 49). In 11 (25%) of the 46 men shown to have an ulcer a barium meal had been previously reported as normal. Evidence is put forward that ulcer symptoms in the large residue of patients with a normal barium meal (38 men, 29 women) were produced by a primary duodenal condition (duodenitis) of which ulcer was one complication.
一项针对四个普通诊所（19619名患者）复发性消化不良的调查显示，消化不良症状多种多样。其中82人（每1000人中有4.2人）已被证实患有溃疡，144人（每1000人中有7.3人）有十二指肠溃疡症状，但未接受过检查或之前钡餐检查结果正常。通过放射检查发现，男性中有一半（95人中有46人）患有十二指肠溃疡，而女性中只有16%（49人中有8人）患病。在经检查证实患有溃疡的46名男性中，有11人（25%）之前的钡餐检查报告显示正常。有证据表明，钡餐检查结果正常的大量患者（38名男性，29名女性）的溃疡症状是由原发性十二指肠疾病（十二指肠炎）引起的，溃疡是该疾病的一种并发症。
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