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頁籤選單縮合
題名 | 尿毒症患者的上胃腸道異常=Upper Gastrointestinal Abnormalities in Uremia |
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作者姓名(中文) | 李敏成; 葉淳; 許重得; 謝善德; | 書刊名 | 醫學研究 |
卷期 | 14:4 1994.01[民83.01] |
頁次 | 頁213-216 |
分類號 | 415.816 |
關鍵詞 | 尿毒症; 胃分泌激素; 胃腸道出血; 動情激素; Uremia; Gastrin; Gastronintestinal bleeding; Estrogen; |
語文 | 中文(Chinese) |
中文摘要 | 尿毒症是一種慢性、全身性的疾病。它會造成體液排除、體內滲透壓、電解質及酸鹼不平衡等代謝失衡的問題,乃是眾所週知的。而其對胃腸的影響,則範圍廣泛而且複雜。在臨床上,尿毒症的病人會有噁心、嘔吐、厭食、打嗝及胃腸道出血等胃腸道的症狀;而對內分泌系統-胃分泌激素、以及胃酸的分泌,乃至於消化性潰瘍的發生,則多有爭論;至於尿毒症患者胃腸道出血的原因,因內視鏡術的發達,使其診斷能更加快速與明確;而其治療,則因動情激素的效果頗佳,而降低了患者的罹病率與死亡率。但造成這些結果的機轉,目前大多不明,故有持吾人的努力與研究。 |
英文摘要 | Uremia is a chronic systemic disease. the clinical findings of uremia result from loss of nephroms, with subsequent impaired ability of the kidney to maintain body water, osmolality of body fluids, and electrolyte and acid-base balance. Gastrointestinal abnormalities are common in chronic real failure and may affect the entire length of the gastrointestinal tract. They vary from mild edema, inflammation, erosions and frank ulcerations and necrosis, even causes bleeding. The present review focuses on the upper gastrointestinal consequences of uremia, including abnormal blood gastrin level and gastric acid production, abnormal gastric mucosal defense mechanisms, and upper gastrointestinal bleeding treated with estrogen to lower the morbidity and morality. |
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