Nine kinds of gastric carcinomas check _'s general knowledge of the project

Nine kinds of gastric carcinomas check _'s general knowledge of the project
Gastric carcinoma is one of the most common malignant tumour, it is different to up to its main disease, can be divided and belonged to in traditional Chinese medicine " Choke diaphragm " , " Regurgitation " , " Disease Jia " , " Gather " , " The trusted subordinate ruffian " , " Gastral cavity aches " Wait for the disease card category. Its morbidity occupies the first place in digestive tract malignant tumour, but there is obvious regional disparity, morbidity its in high person who take place and low to can differ by 7- 10 times while taking place the districts. Our country is the high taking place area of gastric carcinoma on the whole, it has obvious regional disparity too, the Northeast, Jiangsu, the intersection of Zhejiang and for the intersection of gastric carcinoma and high person who take place region following the line of the sea in the northwest of the our country, especially gastric carcinoma in the Hexi Corridor, Gansu Province, Jiaodong Peninsula, Jiangsu, Zhejiang has the highest morbidity, and middle and southern southwest, especially Guangxi, the morbidity of gastric carcinoma is low.
The diagnosis of gastric carcinoma:
(1) Symptom is shown as the upper abdomen is uncomfortable, about 80% of the patients have this behavior, about 50% of the gastric carcinoma patients have obvious appetite to fail or lose the appetite in early period. Weak when can appearing later period,waist back pain and obstruct after appear sick and vomiting, taking food difficult. Tumour surface present, spitting blood, not dark to relieve oneself at the ulcer.
(2) There is no special physical sign in early days in physical sign, can see the lump of upper abdomen in later period, the rectum means examining but and lump, enlargement of lymph nodes at the clavicular left, anaemia, become thin, ascites the intersection of evil and the intersection of liquid and quality behave at the same time.
(3) Check early suspicious gastric carcinoma in the laboratory, free gastric acid minuent or scarce, for instance, the red blood cell presses accumulating, hemoglobin, erythrocyte to drop, stool occult blood (+) . Hemoglobin is low, white in total number the ball is inverted etc.. Water electrolyte is disorderly, the acid-base balance lacks proper care etc. and tests unusually.
(4) The situation, mucomembranous shape that the X-ray can clearly illustrate the stomach outline, wriggle while displaying the double radiography of angry barium, emptying time, whether full of defect, shrine shadow,etc.. Check nearly 80% of rate of accuracy.
(5) Diagnose the most direct and most accurate and most effective diagnostic method of gastric carcinoma in fibrous endoscopy.
(6) Loss cytologic to check, maintain clinical and X-ray examination competent this is checked at the suspicious gastric carcinoma by some scholar.
(7) Can understand whether the substantive internal organs are shifted around in Ultrasonography B.
(8) CT checks to understand stomach tumour infringes the situation, and the internal organs relation around, it is possible whether to excise or not.
(9) Amynologic CEA, FSA, GCA, YM globulin,etc. are checked.
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