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功能性腹部不适的诊断(作者译)

[Diagnosis of functional abdominal complaints (author's transl)].

作者信息

Volkheimer G

出版信息

Leber Magen Darm. 1981 Apr;11(2):94-6.

PMID:7231037
Abstract

Abdominal complaints require careful diagnostic investigations even if they are thought to be functional. In about 40% of patients seen in a gastroenterologist's office in a big city no organic causes of gastrointestinal complaints can be found. In about 36% false nutrition (for instance overeating, furfurism), gastrointestinal infectious disease, abuse of laxatives or food allergies are underlying factors. Microscopic examination of the stool should be done right from the beginning in mediterranean people in order to rule our parasitic disease. Early gastroscopy may be rational however sometimes not feasible; cholecystography may explain in some cases symptoms thought to be gastrointestinal.

摘要

即使腹部不适被认为是功能性的,也需要进行仔细的诊断性检查。在大城市的胃肠病专家诊所就诊的患者中,约40%找不到胃肠道不适的器质性病因。约36%的潜在因素是错误的营养摄入(如暴饮暴食、糠麸癖)、胃肠道传染病、滥用泻药或食物过敏。对于地中海地区的人,从一开始就应进行粪便显微镜检查,以排除寄生虫病。早期胃镜检查可能是合理的,但有时不可行;胆囊造影在某些情况下可能解释被认为是胃肠道症状的病因。

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