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国外学者多采用“非溃疡性消化不良”(NUD)来确定一些有消化道运动功能障碍伴有上腹部不适慢性胃炎患者的诊断。本文对46例符合诊断标准的患者进行回顾分析,并就有关问题作简单讨论。临床资料 46例NUD是从1985年3月至1990年1月,5年间从1113例内镜检查中筛选出来。按通用的诊断标准:(1)有慢性上腹痛、恶心、嗳气、反酸、饱胀等症状,并持续4周以上;(2)内镜下表现正常或除外溃疡、糜烂及肿瘤等器质性病变;(3)实验室、B超和X线检查排除肝胆胰疾病。 46例中男28例、女18例,年龄17～68岁。病程1个月至27年。全部病例多以各种上腹症状而就诊。以上腹隐痛或腹痛41例为最多。其他依次为饱胀34例,恶心30例,反酸28例,夜间痛15例,合并
Foreign scholars often use “non-ulcer dyspepsia” (NUD) to determine the diagnosis of some gastrointestinal motility disorders with chronic gastritis in patients with upper abdominal discomfort. In this paper, 46 cases of patients who meet the diagnostic criteria were retrospectively analyzed and the related issues were briefly discussed. Clinical data 46 cases of NUD from March 1985 to January 1990, 5 years from 1113 cases of endoscopic screening out. According to common diagnostic criteria: (1) chronic upper abdominal pain, nausea, belching, acid reflux, fullness and other symptoms, and continued for 4 weeks or more; (2) endoscopic or normal ulcer, erosion and other tumors Sexual lesions; (3) laboratory, B-and X-ray examination to exclude hepatobiliary and pancreatic diseases. 46 cases of male 28 cases, 18 females, aged 17 to 68 years. Duration of 1 month to 27 years. All cases with a variety of upper abdominal symptoms and treatment. 41 cases of abdominal pain or abdominal pain were the most. The other followed by 34 cases of fullness, 30 cases of nausea, acid reflux in 28 cases, night pain in 15 cases, merger