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消化不良是一种极常见症状,一般诊断主要根据病史和临床表现。新近有人用计算机研究发现:消化性溃疡和功能性消化不良患者的临床表现在某些方面与传统教科书上所描述的典型表现并不一致,因而造成了临床上消化不良患者的误诊。本文分析了221例患者的临床表现,旨在确定是否能根据一些特殊的症状或症状群将原发性消化不良与消化性溃疡和胆石症作鉴别。病例:113例原发性消化不良(内镜证实无溃疡,亦无其它消化道疾病的临床、生化及X线表现);55例有症状且经内镜证实的十二指肠溃疡和胃溃疡(前者32例,后者23例);53例因胆痛和服石症住院的患者,剖腹手术时除胆石外未见其它病变。
Indigestion is a very common symptom, and the general diagnosis is based primarily on medical history and clinical manifestations. Recently, computer studies have found that the clinical manifestations of patients with peptic ulcer and functional dyspepsia are not consistent in some aspects with the typical performance described in traditional textbooks, resulting in misdiagnosis of clinically dyspeptic patients. This article analyzes the clinical presentation of 221 patients to determine whether the primary dyspepsia and peptic ulcer and cholelithiasis can be identified based on a specific group of symptoms or symptoms. Cases: 113 cases of primary dyspepsia (endoscopy confirmed no ulcer, no other gastrointestinal disease clinical, biochemical and X-ray findings); 55 cases of symptomatic and endoscopically confirmed duodenal ulcer and gastric ulcer (The former 32 cases, the latter 23 cases); 53 cases of patients hospitalized due to cholelithiasis and persecution, no other lesions except for gallstone during laparotomy.