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The author:(作者)归海一刀published in(发表于) 2014/2/11 10:02:40 Experts respond to stomach explodes News： exaggerated， not science
Nanfang daily dispatch (reporter/Cao Si correspondent/Jian Wenyang) has a "stomach explode" rumor went viral on the Web, said a 58-year old due to the large number of patients with eating causes "stomach explosion", also caught fire and eventually had to total gastrectomy. Yesterday, the Sun Yat-sen University sixth Hospital Chief of surgery, gastrointestinal surgery, said in an interview, Lin Feng, Director, "stomach explode" overstated, "fire" is not scientific, if the case was introduced "gastrectomy" surgery, should be based on other pathology.
Perforation of gastric wall could not be called "blast"
This "stomach explode" rumors from prominent Twitter's got talent "@ Dietitians Gu Zhongyi" blast. The Beijing friendship hospital dietitian forwarded a case on Twitter: patient women, aged 58, and eat large quantities of food and beer, sudden abdominal pain bloating after meals 1 hour emergency, patients with a well to do person, abdominal tenderness. Abdominal CT showed that gastric distension. Surgery, doctors discovered intraabdominal high pressure gas Jet, fire suppression after surgery to continue. Intra-abdominal mass black cloudy liquid mixed with food scraps, seriously damaged the stomach wall, lesser curvature of the stomach between Cardia and Helicobacter pylori full burst. "Stomach explode" and "fire", this surgery really makes people nervous. End result is very regrettable, because the patient was too heavy and had to total gastrectomy.
Lin Feng, "explosion" claims were exaggerated, overeating can cause acute gastric dilatation, which is commonly known as the "gastric paralysis", "this is the most serious situation, causing the stomach to lose momentum, high pressure expansion, squeezed the stomach, bleeding mucosal damage last piercing. However, this phenomenon cannot be called a explosions can be described as like a balloon tore a hole, there is difference between big and small. ”
The so-called "flammable gases" impossible
Microblogging referred to "high pressure combustible gas", Lin Feng agrees that this is not possible, "normally in the human stomach 70% of gases in inhaled air from processes such as breathing or chewing, and the current is more mainstream in beverage and beer containing carbon dioxide, gases are nonflammable or flame-retardant, far less than the lit conditions. Even a person eats organic substances have a chance to ferment in the stomach, producing similar biogas such combustible objects, also takes a long time, could not form in a short time. ”
Lam, Feng said, the body has a very sound self-protection mechanism, once the retention in the stomach when you overdose, spontaneous reactions, such as vomiting, burping, mandatory decompression, which is not controlled by human consciousness.
Most acute gastric dilatation without surgery
Gastric surgery, as the Standing Committee of the China anti-cancer Association professional Committee of gastric cancer surgery and surgical team, Lam, Feng said only when a pathological change of stomach, gastric hemorrhage in cancer, blood disorders, as well as a wide range of cases, before considering this type of surgery.
He said that in the clinical, appear more "gastroparesis" primarily of cranial nerve damage, stroke, shock, infection or in patients after major surgery. Acute gastric dilatation caused by overeating, mostly because patients are older, or have a history of diabetes, or have a history of stomach ulcers, chronic atrophic gastritis.
Personally scripted, acute gastric dilatation is an on-going process of the disease, usually accompanied by a feeling of fullness, and vomiting. "Stomach", insertion of gastric tube, decompression for the treatment of common measures, in most cases do not need surgery, "of course, acute gastric dilatation causes bleeding from mucous membrane damage, small in endoscopic therapy, and larger amounts of bleeding or perforation is considering surgery, if left unchecked, will more dangerous. ”
Personally scripted believes that without stressed the cause of total gastrectomy on the basis of other pathology is based on, it is easy to create illusion of gastric perforation gastrectomy, easy to mislead the public. But he also stressed that while "explosion" is hyperbole, but eat and drink to stimulate stomach is nothing to talk about, apart from acute gastric dilation, gastric perforation, severe acute pancreatitis when, even life-threatening, holiday eating, is to go easy.
(Original title: "explodes" exaggerated to be scientific)
南方日报讯 （记者/曹斯 通讯员/简文杨）近日一则“胃爆炸”的传闻在网络上疯传，称一名58岁的患者由于大量进食导致“胃爆炸”，术中还着火，最后不得不全胃切除。昨日，中山大学附属第六医院大外科主任、胃肠外科主任林锋教授接受采访时表示，“胃爆炸”说法言过其实，“会着火”更不科学，如果该病例施行了“胃切除”的手术，应基于其他病理原因。
胃壁穿孔不能称“爆炸”
这条“胃爆炸”的传闻来自著名微博达人“@营养师顾中一”的爆料。这位北京友谊医院的营养师在微博上转发了一个病例：患者女性，58岁，进食大量食物及啤酒，餐后突发腹痛腹胀1小时来院急诊，患者腹胀如鼓，全腹压痛。腹部CT显示，胃扩张。手术时，医生发现腹腔内高压可燃气体喷出，灭火后手术继续。腹腔内大量黑色浑浊液体混有食物残渣，胃壁破损严重，胃小弯贲门至幽门全程炸裂。又是“胃爆炸”，又是“起火”，这场手术真是让人紧张。最后的结果也是十分令人遗憾，由于患者病情太重，不得不全胃切除。
在林锋看来，“爆炸”的说法太夸张，暴饮暴食确实有可能引发急性胃扩张，也就是俗称的“胃瘫”，“这是最严重的一种情况，会使得胃部失去动力，高压扩张，胃壁受挤压，粘膜破损出血最后穿孔。但这种现象不能称为爆炸，可表述为像气球破了个洞，而洞有大有小之分而已。”
所谓“可燃气体”不可能
至于微博所提及的“高压可燃气体”，林锋也认为这不可能，“一般情况下人体胃部内70%的气体来自呼吸或者咀嚼等过程中吸入的空气，而当前主流饮料和啤酒中较多含有的是二氧化碳，是不可燃甚至是阻燃的气体，远远达不到被点燃的条件。就算是人进食的有机物质有机会在胃里发酵，产生类似沼气类的可燃物体，也需要较长的时间，不可能在短时间内形成。”
林锋表示，人体有非常完善的自我保障机制，一旦胃部潴留过量时，会自发的出现呕吐、打嗝等反应，强制减压，这不为人的意识所控制。
急性胃扩张大多不需手术
至于胃切除手术，作为中国抗癌协会胃癌专业委员会外科常委兼外科组组长，林锋表示只有在胃发生病理性质转变时，即肿瘤、血运障碍以及广泛胃出血等的情况下，才考虑此种手术。
他介绍说，临床中，较多出现“胃瘫”的主要是一些颅神经损伤、脑中风、休克、感染或是大型手术后的患者。至于暴饮暴食引起的急性胃扩张，则大部分是因为患者年龄比较大，或是有糖尿病史，或是有胃溃疡、慢性萎缩性胃炎病史等。
林锋表示，急性胃扩张的发病是一个持续的过程，一般伴有饱胀的感觉和呕吐现象。“洗胃”、插胃管、减压为常用的治疗措施，大多数情况下不需手术，“当然，急性胃扩张导致粘膜受损出血，小的话可以在内镜下进行治疗，而一旦出血量较大或有穿孔则会考虑手术，如果置之不理必然会比较危险。”
林锋认为，在没有强调全胃切除的缘由是基于其他病理原因的基础上，很容易给人造成胃穿孔就要胃切除的假象，易误导大众。不过他也强调，虽然“爆炸”的说法夸张，但大吃大喝刺激肠胃是没商量的，除急性胃扩张、胃穿孔外，严重时还会引发急性胰腺炎，甚至危及生命，因此假日吃喝还是要悠着点。
（原标题：“爆炸着火”说法夸张不科学）
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