[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"$f65-g5LTUgHIk8dGZIHhGe2pKpxnfW0g-O4HGxk3yxcs":3,"$fJrhyhv9bSSiEIUbl4b90pjoWnLDtTT9b_MFHMyqhZd4":8},{"code":4,"msg":5,"message":6,"data":6,"success":7},401,"认证失败，无法访问系统资源",null,false,{"code":9,"msg":10,"message":6,"data":11,"success":55},200,"操作成功",{"id":12,"name":13,"describes":6,"symptoms":6,"checkup":6,"treatment":6,"seoTitle":14,"seoKeywords":15,"seoDescription":16,"coverVertical":6,"coverAcross":6,"introduceClassifications":17,"departments":53},1390,"食道裂孔疝"," 食道裂孔疝：症状、原因及治疗方法\n"," 食道裂孔疝, 食道裂孔疝症状, 食道裂孔疝原因, 食道裂孔疝治疗, 胃食管反流, 食道裂孔疝手术, 食道裂孔疝诊断\n"," 食道裂孔疝是一种常见的胃食管道疾病，可能引起胃食管反流和胸痛等症状。了解食道裂孔疝的症状、原因及各种治疗方法，帮助您更好地管理和治疗这种疾病。",[18,23,28,33,38,43,48],{"id":19,"classification":20,"description":21,"sort":22,"diseaseId":12},123153,"概述","\u003Cp>　　裂孔疝(esophageal hiatal hernia)又称食管裂孔疝，是指腹腔内脏器(主要是胃)通过膈食管裂孔进入胸腔所致的疾病，是膈疝中最常见者，达90%以上。\u003C/p>",0,{"id":24,"classification":25,"description":26,"sort":27,"diseaseId":12},123154,"病因","\u003Cp>　　1、长期腹腔压力增高的后天因素，如妊娠、腹水、慢性咳嗽、习惯性便秘等可使胃体疝入膈肌之上而形成食管裂孔疝。\u003C/p>\u003Cp>　　2、手术后裂孔疝，如胃上部或贲门部手术，破坏了正常的结构亦可引起疝。\u003C/p>\u003Cp>　　3、创伤性裂孔疝。\u003C/p>",1,{"id":29,"classification":30,"description":31,"sort":32,"diseaseId":12},123155,"症状","\u003Cp>　　常见症状：胸骨后或剑突下烧灼感、胃内容物上反感、上腹饱胀、嗳气疼痛、疼痛性质多为烧灼感、针刺样疼、可放射至背部、肩部颈部等处\u003C/p>\u003Cp>　　胸骨后或剑突下烧灼感、胃内容物上反感、上腹饱胀、嗳气疼痛等。疼痛性质多为烧灼感或针刺样疼，可放射至背部、肩部颈部等处平卧、进食甜食、酸性食物，均可能诱发并可加重症状。\u003C/p>",2,{"id":34,"classification":35,"description":36,"sort":37,"diseaseId":12},123156,"检查","\u003Cp>　　检查项目：血常规、肝功能、上消化道造影、食管镜、B超\u003C/p>\u003Cp>　　由于本病相对少见，且无特异性症状和体征，诊断较困难对于有胃食管反流症状，年龄较大，肥胖，且症状与体位明显相关的可疑患者应予以重视，确诊需要借助一些器械检查，如食管镜等。\u003C/p>",3,{"id":39,"classification":40,"description":41,"sort":42,"diseaseId":12},123157,"并发症","\u003Cp>　　1.反流性食管炎，与食管裂孔疝互为因果引起食管狭窄及食管缩短。\u003C/p>\u003Cp>　　2.吸入性呼吸道感染，支气管哮喘(继发症)等。\u003C/p>\u003Cp>　　3.上消化道出血，由疝入的胃和肠发生溃疡所致(呕血和黑便)。\u003C/p>\u003Cp>　　4.溃疡穿孔破入胸膜腔、心包，引起胸痛和呼吸困难。\u003C/p>",4,{"id":44,"classification":45,"description":46,"sort":47,"diseaseId":12},123158,"治疗","\u003Cp>　　治疗原则主要是消除疝形成的因素，控制胃食管反流促进食管排空以及缓和或减少胃酸的分泌，同时注意以下几点：\u003C/p>\u003Cp>　　①减少食量以高蛋白低脂肪饮食为主，避免咖啡、巧克力、饮酒等，避免餐后平卧和睡前进食。\u003C/p>\u003Cp>　　②睡眠时取头高足低位，卧位时抬高床头。\u003C/p>\u003Cp>　　③避免弯腰、穿紧身衣呕吐等增加腹内压的因素。\u003C/p>\u003Cp>　　④肥胖者应设法减轻体重有慢性咳嗽，长期便秘者应设法治疗。\u003C/p>",5,{"id":49,"classification":50,"description":51,"sort":52,"diseaseId":12},123159,"饮食","\u003Cp>　　多吃清淡的食物，可以减少反流的机会，而对胃粘膜有明显刺激的食物，可能增加胃液的分泌，引起胃内的胃酸等主要反流物得明显增加。因而，应避免吃一些含有刺激性的食物，或者是少食用延缓胃排空的食物，多吃一些清淡、柔软、易消化的食物。\u003C/p>\u003Cp>　　睡前最好不要进食，晚餐与入睡的间隔应拉长，超过3小时。餐后应处于直立位或散散步，但要避免剧烈运动。反流易通常在夜间发生的比较多，所以应将床头抬高使床头至床尾有一个斜形坡度，这样即使反流也能较快消除。\u003C/p>",6,[54],"普通外科",true]