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慢性胃扭转少见。我院1984年10月~1999年10月共发现胃扭转35例,并对此类病人进行电视下复位。本文就其X线诊断,电视下复位方法报告如下:1 临床资料1.1 一般资料:男30例,女5例。年龄30岁以下9例,35~44岁20例,45~60岁6例。病史最短1月,最长3年。十二指肠球部溃疡6例,十二指肠球炎4例,慢性胃炎8例,左侧胸膜增厚粘连4例,左膈升高2例,胃周韧带松弛2例,结肠胀气2例,巨脾症1例,裂孔疝1例,原因不明5例。1.2 临床症状:上腹饱胀不适、疼痛、呕吐、反酸、嗳气,呈典型的随食物排空而缓解的餐后上腹痛8例,进食有阻塞感2例。发热、左侧胸痛、恶心、呕吐4例。1.3 X线表现:(1)器官轴型胃扭转31例中左侧隔肌升高8例,胃泡胀气10例,食管腹段延长15例。表现为大小弯位置变
Chronic gastric torsion rare. Our hospital from October 1984 to October 1999 found a total of 35 cases of stomach reversal, and such patients under the TV reset. This article on its X-ray diagnosis, television reset method is reported as follows: 1 Clinical data 1.1 General information: 30 males and 5 females. Nine patients under 30 years of age, 35 to 44 years in 20 cases, 45 to 60 years in 6 cases. The shortest history of January, up to 3 years. Duodenal ulcer in 6 cases, duodenal inflammation in 4 cases, chronic gastritis in 8 cases, left pleural thickening adhesions in 4 cases, left diaphragm elevation in 2 cases, gastric ligament relaxation in 2 cases, flatulence 2 For example, 1 case of splenic disease, hiatal hernia in 1 case, unknown cause in 5 cases. 1.2 Clinical symptoms: abdominal fullness discomfort, pain, vomiting, acid reflux, belching, was typical with food emptying and relieve postprandial upper abdominal pain in 8 cases, eating obstruction in 2 cases. Fever, left chest pain, nausea, vomiting in 4 cases. 1.3 X-ray findings: (1) Axis of organs of the stomach in 31 cases of left ventricular septum increased in 8 cases, stomach gas flatulence in 10 cases, esophageal abdominal extension of 15 cases. The performance of the small bend position change