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目的 :分析消化内科患者发生恶心呕吐的常见临床原因,并探讨有效的治疗措施。方法 :随机选取在我院消化内科就诊且接受治疗的84例患者资料,对这84例患者的临床资料均进行详尽分析,认真询问患者病史,结合患者的各项检查结果,综合分析病因,做出明确诊断后,制定有针对性的治疗方案。结果:较为常见的病因包括反流性食管炎17例(20.24%),急性胃炎14例(16.67%),慢性胃炎13例(15.48%),胃溃疡11例(13.10%)。其次为胆结石9例(10.71%),功能性消化不良8例(9.52%),十二指肠溃疡7例(8.33%)。发生率较低的为急性阑尾炎4例(4.76%),胃癌1例(1.19%)。结论 :针对消化内科恶心呕吐患者,临床医生应详细分析病因,制定有针对性的治疗策略,在积极治疗原发病基础上,合理选择药物,并行必要的健康宣教指导,以帮助患者早日康复。
Objective: To analyze the common clinical causes of nausea and vomiting in patients with gastroenterology and to discuss the effective treatment measures. Methods: We randomly selected 84 patients treated in our department of digestive medicine and received treatment. The clinical data of 84 patients were analyzed in detail. The patient’s medical history was carefully interrogated, combined with the patient’s examination results, comprehensive analysis of the cause, do A clear diagnosis, the development of targeted treatment programs. Results: The most common causes were reflux esophagitis in 17 cases (20.24%), acute gastritis in 14 cases (16.67%), chronic gastritis in 13 cases (15.48%) and gastric ulcer in 11 cases (13.10%). Followed by gallstones in 9 cases (10.71%), functional dyspepsia in 8 cases (9.52%), duodenal ulcer in 7 cases (8.33%). The lower incidence of acute appendicitis in 4 cases (4.76%), gastric cancer in 1 case (1.19%). Conclusion: For patients with digestive medicine nausea and vomiting, clinicians should analyze the cause in detail and formulate targeted treatment strategies. On the basis of active treatment of primary disease, select reasonable drugs and conduct necessary health education and guidance to help patients recover sooner or later.