引发“胃痛”(上腹中部痛)的最常见疾病是胃炎和消化性溃疡。这两个疾病发病率很高,是药店疾病谱中的重点。另外需要药师了解的是,上腹中部痛还可能是胃癌或胃穿孔引起的:胃癌之疼痛无规律,开始为上腹不适、膨胀及沉重感。如按胃炎治疗,症状可暂缓解;胃穿孔通常是在消化性溃疡或胃癌基础上发生的,患者上腹痛明显,可以伴有呕吐、发热。体格检查可见上腹部压痛,严重 The most common diseases that trigger “stomachache” (middle upper abdominal pain) are gastritis and peptic ulcer. The high incidence of these two diseases is the focus of pharmacy disease spectrum. Also need pharmacists understand is that the middle parthenocarpidal pain may also be caused by gastric or gastric perforation: irregular gastric pain, began to abdominal discomfort, swelling and heavy feeling. Such as gastritis treatment, the symptoms can be temporarily relieved; gastric perforation usually occurs on the basis of peptic ulcer or gastric cancer, patients with obvious abdominal pain, may be associated with vomiting, fever. Physical examination showed abdominal tenderness, severe