西医综合内科（Western Medicine）.docVIP

西医综合内科（Western Medicine） (1) digestive system diseases and acute poisoning; 1. chronic gastritis can be divided into two categories: chronic antral gastritis (type B gastritis) and chronic stomach inflammation (type A gastritis). Helicobacter pylori infection is the main cause of the disease. Autoimmune, duodenal reflux, increased age, and lack of gastric mucosal nutrition factors may also be involved in the pathogenesis. Most persistent disease has no obvious symptoms, only abdominal distension, irregular abdominal pain, belching, pantothenic acid burning, anorexia, nausea and vomiting and other nonspecific symptoms. Gastroscopy and biopsy of the stomach can confirm the diagnosis. Treatment of Hp positive patients should be eradicated (proton pump inhibitors based or colloidal bismuth based + antibacterial), Hp negative patients, removal of disease + symptomatic treatment, type A gastritis without special treatment. Burn patients are called Curling ulcers, and those with central nervous system diseases are called Cushing ulcers. 2. gastroesophageal reflux disease refers to excessive stomach and duodenal contents into the esophagus causing heartburn and other symptoms, and can lead to tissue damage outside of esophagitis and pharynx, larynx, trachea and esophagus. The structure and function defect of esophageal anti reflux barrier, esophageal acid elimination, esophageal mucosal defense dysfunction and delayed gastric emptying may all be the causes of the disease. Heartburn and acid reflux is the most common symptoms of intermittent dysphagia and odynophagia retrosternal or sword pain, sore throat, hoarseness, foreign body sensation, also can appear visible; upper gastrointestinal bleeding, esophageal stenosis, esophageal ulcer complications Barrett. Clinically, there are obvious reflux symptoms, endoscopic reflux esophagitis and so on, which can be diagnosed as gastroesophageal reflux disease. Drug therapy is effective with H2 receptor antagonists, gastrointestinal