高寒高原地区十二指肠多发性溃疡56例分析.docVIP

高寒高原地区十二指肠多发性溃疡56例分析 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：高寒高原地区十二指肠多发性溃疡56例分析 1 1 临床资料 2 3 讨论 3 文2：百万富翁Ⅲ56 4 参考文摘引言： 8 原创性声明（模板） 9 文章致谢（模板） 9 正文 高寒高原地区十二指肠多发性溃疡56例分析 文1：高寒高原地区十二指肠多发性溃疡56例分析 Abstract： Objective To investigate the characteristics of multiple duodenal ulce in the cold areas at high altitude. Methods Group A, including 817 servicemen and their family membe living in the cold areas at high altitude (2,248-3,500 mete above sea level), was examined via endoscopy, and 56 patients coisting of 49 males and seven females were found to suffer from multiple duodenal ulce. Another 730 examinees (from Kaiyuan, Yunnan province and Zhaoqing, Guangdong province) were enrolled into Group B (control group), in which there were 30 patients (21 males, nine females) ill with multiple duodenal ulce. Results (1) the main pathogenic causes were drinking and taking painkiller or antipyretic; (2) taking antibiotics was another cause; (3) it was easy to locate the ulcer location, . mainly in the front and back walls of duodenal ball, and the ulcer shapes were mostly rounded; (4) the ulce accompanied by the upper digestive tract bleeding were common, and occurrence rates were % in the patients from Group A and % in those from Group B; (5) malignant ulcer was rare in the 56 patients with multiple duodenal ulce from Group The occurrence rate of multiple duodenal ulce is slight higher in the cold areas at high altitude than in the inlands. Key words： highly cold; high altitude; duodenum; multiple ulce 高寒高原(海拔2 248～3 500 m)地区，空气稀薄，日照时间长，紫外线强，昼夜温差大，干燥缺氧等特点，使十二指肠多发性溃疡发病 规律 与内地略有差异。通过对我部高寒高原地区817例（设为A组）检出十二指肠多发性溃疡56例，选择云南开远和广东肇庆地区730例作对照(B组)[1～2]，检出十二指肠多发性溃疡30例，分析发现有以下特点，现报告如下。 1 临床资料 一般资料 1999—2004年5年间，通过对常驻高寒高原地区部队军人及家属进行胃镜检查817例，A组检出十二指肠多发性溃疡56例，其中男性49例，女性7例，年龄18～60岁，平均31岁，B组选择云南开远和广东肇庆地区730例，检出十二指肠多发性溃疡30例，其中男性21例，女性9例，年龄22～68岁，平均39岁。 1．2 发病原因 由表1可见本组十二指肠多发性溃疡56例中，主要有饮酒，服用解热镇痛剂，其次为服用抗生素。 表1 56例十二指肠多发性溃疡诱因统计（略） 窥镜检查结果 ．1两组溃疡数目比较 A组，56例溃疡总数109个， B组30例溃病总数6