Which gastric ulcer should be made to check _'s general knowledge

Which gastric ulcer should be made to check _'s general knowledge
1.Analysis and gastric acid of gastric juice are determined
Determine the diagnosis and treating the choice of the way to gastroduodenal ulcer is helpful with analysis and gastric acid of gastric juice. Basic gastric acid secreting amount (basal acid output, BAO) >5mmol/h may duodenal ulcer, BAO> 7.5mmol/h should perform the operation treatment. BAO> 20mmol/h maximum acid secreting amount (MAO) >60mmol/h, or BAO/MAO> 0.6 person may be gastrin tumour, should further do gastrin is determined.
And the hospital chooses the nervus vagus to cut off the skill and treat duodenal ulcer according to the gastric acid dividing type, the concrete method is: In BAO and 40mmol/h, PMAO> IMAO, meanwhile, companion pyloric stenosis do nervus vagus of alternative cut off, add the stomach sinus, excise skill. Follow up a case by regular visits to, indicate, secrete the type, choose the fan how to cut surgery way according to gastric acid while being postoperative, can obviously lower the recuring rate of ulcer, improve the therapeutic effect.
2.Serum gastrin and serum calcium is determined
The determination of serum gastrin can help to get rid of or diagnose gastrin tumour, serum gastrin> possible that 20pg/ml considers having gastrin tumour; Act as gastrin> 100pg/ml, can affirm as gastrin tumour. The overbearing patient is apt to erupt peptic ulcer simultaneously by first, so, the determination of serum calcium also has certain help.
3.The latent blood of stool is tested
It can be positive to amalgamate gastric ulcer bleeding, but the latent blood of stool is tested if sustains and should consider malignant pathological change of the stomach for being positive.
4.Amalgamate the relevant inspection bleeding with gastric ulcer
Including hemoglobin, hematocrit, network weave erythrocyte counting, bleeds and blood coagulation time.
5.Shilling tests (Schilling test)
The shrinking gastritis patient is doing Shilling who determines vitamin B12 to test (Schilling test) extensively .
6.Spiral shell's bacillus of pylorus is checked
This checks diagnosis basis that is not ulcer, but it is closely linked to recurring of ulcer, so there are important meanings in treating. The positive one of this all fungus, should select the effective medicine for use and eliminate it. The inspection method is as follows, it is all better that the gastroscope adds alive and examines accuracy and sensitivity, the making a definite diagnosis of rate is high. The electron fibrous gastroscope can understand the size, position of gastric ulcer, bleed, penetrate accurately, activity one is still the silent period, can roughly understand it is good and malignant according to the pathologic shape of ulcer, live and examine and can be clear that know whether it is benign or malignant or not in in addition, pathology. The gastroscope can also combine the detection of spiral shell's bacillus of pylorus at the same time, understand the infection with spiral shell's bacillus of pylorus. The gastroscope can treat some, for instance: The mirror makes the part and arrests blood. It is simple and easy to do that barium meal is checked, there is little agony. Can understand the wriggling of the stomach and change the bag stomach according to the big bodily form attitude of the stomach, can be distinguished benignly or malignantly according to the changes of shadow of the shrine and mucous membrane at the same time. The benign ulcer shrine shadow lie beyond the coat of the stomach more, the radiatiform of mucous membrane around is centralized. Barium meal can also understand duodenum and pylorus have to be out of shape, narrow and obstructing. But it is false and negative that barium meal has the certain one (Figs. 2, 3) .
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