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试述典型的消化性溃疡的腹痛特点。

问答题
2021-12-22 15:19
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正确答案

(1)长期性。
(2)周期性:以春、秋季发作者多见。
(3)节律性:十二指肠溃疡(DU)患者疼痛呈空腹痛及夜间痛;胃溃疡(GU)上腹疼痛,约在餐后0.5~1小时出现,在下次餐前自行消失。
(4)疼痛部位:十二指肠溃疡的疼痛多出现于中腹部,或在脐上方,或在脐上方偏右处;胃溃疡的疼痛多在中上腹,但稍偏高,或在剑突下和剑突下偏左处。
(5)疼痛程度和性质:疼痛一般较轻而能忍受,多呈钝痛、灼痛或饥饿样痛。
(6)疼痛的影响因素:疼痛常因精神刺激、过度疲劳、饮食不慎、药物、气候变化等因素诱发或加重;可通过休息、进食、服制酸药物、以手按压疼痛部位、呕吐等方法而减轻或缓解。


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