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消化不良、胃窦运动功能障碍及固体食物胃潴留。

Dyspepsia, antral motor dysfunction, and gastric stasis of solids.

作者信息

Rees W D, Miller L J, Malagelada J R

出版信息

Gastroenterology. 1980 Feb;78(2):360-5.

PMID:7350061
Abstract

Extensive gastric manometric and emptying studies were performed in a patient with postprandial dyspeptic symptoms which, for many years, had been diagnosed as functional complaints. After ingestion of a mixed, solid-liquid meal we observed marked gastric stasis of solids associated with a weak antral pressure response, whereas gastric emptying of fluids was normal. Fundic pressure activity, recorded separately, was also normal. This case may represent a pathophysiologic expression of the specific roles of the antrum in the emptying of solids (abnormal) and of the fundus in the emptying of liquids (normal) and shows that pathophysiologic abnormalities can sometimes be demonstrated in patients lumped under a "functional" category.

摘要

对一名有餐后消化不良症状的患者进行了广泛的胃测压和排空研究,多年来该症状一直被诊断为功能性疾病。摄入混合的固体 - 液体餐后,我们观察到固体在胃内明显淤滞,同时伴有胃窦压力反应微弱,而液体的胃排空正常。单独记录的胃底压力活动也正常。该病例可能代表了胃窦在固体排空(异常)和胃底在液体排空(正常)中特定作用的病理生理表现,并且表明在被归为“功能性”类别的患者中有时可以证明存在病理生理异常。

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