Blendis Lauerence M, Hill Oscar W, Merskey Harold
London Psychiatric Hospital, P.O. Box 2532, Terminal "A", London, Ont. N6A 4H1 Canada.
Pain. 1978 Aug;5(2):179-191. doi: 10.1016/0304-3959(78)90040-4.
Sites in the gut that are related to pain are reviewed with respect to the special psychophysiological factors that operate locally. Topics considered are the irritable bowel, appendicitis and appendicectomy, duodenal ulceration and biliary disorders. Psychological states that promote the complaint or experience of abdominal pain are discussed. Possible psychological mechanisms are considered for abdominal pain with the reservation that we still do not know even the main physical mechanisms of pain related to gut disturbance.
本文将根据局部起作用的特殊心理生理因素，对肠道中与疼痛相关的部位进行综述。讨论的主题包括肠易激综合征、阑尾炎及阑尾切除术、十二指肠溃疡和胆道疾病。文中还探讨了促使腹痛主诉或体验产生的心理状态。对于腹痛可能的心理机制进行了思考，但需要说明的是，我们甚至仍不清楚与肠道功能紊乱相关疼痛的主要生理机制。
