![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
医生好,上周六做的胃肠镜手术,胃里4个息肉切除做病理,肠有20个息肉,有个大的也做了病理,病理结果也出来了,麻烦帮看一下(男,45岁)
图片因隐私问题无法显示
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
下午好,感谢您的信任,稍等我查看一下
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
当时是因为打嗝引起胃想抽成真空一样疼一下,所以去做的胃镜,顺便做了肠镜
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
打嗝很频繁吗?现在还有症状吗?有什么诱因吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
打嗝不是很频繁,是上周一开始的,然后周六做的胃肠镜
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
现在做完手术,没吃饭,今天吃点鸡蛋糕也有打嗝症状
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
好的,收到
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我这是不是肠癌呀?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您还有什么基础疾病吗?平时在吃什么药物吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
家里有消化道肿瘤家族史吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
糖尿病
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
吹气查过幽门螺杆菌吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
没有家族史
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
挺幸运的
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
别担心
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
几年前吹气查过是阴性
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
后来就没查过
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
胃是不是也快演变成胃癌了?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
这样哈,我看到,胃镜报告里,标记了hp++++
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
当时做快速尿素酶试验检测幽门螺杆菌了吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
没有
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
可能不同单位的内镜书写习惯不同,这个胃镜诊断描述中,直接写hp++++,有的医院,是表示内镜下觉得像,有的是做了快速尿素酶试验检测
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您看看您的缴费单,明细里面,有没有
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
快速尿素酶实验,或幽门螺杆菌检测等字样
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
图片因隐私问题无法显示
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
有个快速检测
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
那就是了,这个准确性还是挺好的,就是幽门螺杆菌感染阳性了
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
您平时吃的就是降糖药吧?有吃降脂药和抗血小板药物吗
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
方便接听语音的留言吗
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
方便
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
去年吃过一段时间降血脂药,我血脂也高
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
叫什么叶片
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
现在有在吃降血脂药物吗?比如阿托伐他汀等
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
图片因隐私问题无法显示
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
现在不吃了
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
就吃这两种降血糖的和VB
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
好的,问题不大,为了未来更安全,您还有一些小任务要做,一会儿我找环境安静些,给您发语音详细说
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好的
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
萎缩性胃炎是不可逆吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我现在在住院,还想问一下腹部增强CT是在出院后1个月再做吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
简单总结一下,具体见语音 胃 1.目前存在反流性食管炎,慢性萎缩性胃炎c2,病理炎症明显,伴随hp感染,都不是大问题,但是需要重视,因为现在还好,但未来存在发生胃癌的小概率风险,而且不舒服,所以需要进一步干预,干预见2.3等 2.到就近靠谱的医院,尝试根除幽门螺杆菌,一般是四联疗法,首推含青霉素的四联疗法,疗程2周,2周后继续吃保护胃粘膜药物如奥美拉唑,至满2周,需要长期坚持分餐 3.1年复查胃镜+C13呼气试验
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
肠 直肠早癌,目前已完全切除,顺利度过一劫,需要以下两件事 1.查腹盆CT平扫+增强,用于排除小概率的转移风险 2.6-12个月复查结肠镜 3.健康饮食,避免烟酒刺激
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
还有目前还用不用做呼气试验
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我是周六做的,明天周二,用不用明天和我们这医生说一声做ct,还是再隔1-2周再做?我本打算明天出院的
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
6/7/1/
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
正好三天哈
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
周六上午做的,11点做完的
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
如果在住院的话,问问能不能住院期间把根除hp的方案给定一个
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
做青霉素皮试,应该比较方便
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好的,如果转移到淋巴,那就彻底完蛋了
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
但有的医院,门诊的药物,住院部,不一定会有
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我现在胃上有伤口是不是不能马上做hp治疗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
胃上什么伤口?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
息肉切除伤口
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
4联要如果青霉素不过敏四联药直接问我们本地医生吃什么就行吗
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
对,也要看您那有什么药
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
铋剂四联方案,2 周疗程。 ①奥美拉唑 20 mg每次,早晚餐前各一次; ②枸橼酸铋钾 220 mg每次,早晚餐前各一次; ③阿莫西林一天两次,一次 1 g;餐后;(需要做青霉素皮试);如青霉素皮试阳性,就不用了青霉素;就换 四环素一天四次,一次 500 mg;餐后 ④呋喃唑酮一天两次,一次 0.1 g;餐后
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
我这边最习惯用的方案,一线方案,供参考
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我四环素牙是不是过敏,我还磺胺过敏
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
还有最后一个问题,肠子的事就是定期复查不用吃药干预吗?
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好的,谢谢医生!
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
医生好,胃轻度不典型增生是不是快胃癌了?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
这个一般多长时间发展为胃癌
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
不是,不要担心,这个前面语音里我跟您说过
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
不放心的话,如果条件允许,也可以把病理片子送到三甲医院做个病理会诊
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好,我再听听之前语音
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
别紧张
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
杀完菌,之后择期复查就行
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好的
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
我今天出院了,住院医生说3个月复查一下,如果胃里还有这个不典型增生的小痘痘的话需要周边都切除一下,有必要吗?
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
还有还有我可以先吃奥美拉唑然后2周再杀菌可以同时进行吧
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
![用户头像](https://static.chunyuyisheng.com/@/media/images/2017/04/22/c072/8a13d525d3a4_w48_h48_.png)
患者
好的,明白了
![](https://resourced.chunyu.mobi/FNMAAAAr2qVaiUgX-ece1efc2-1390-4805-b685-b1c62b7fbf1b_w500_h500_.png?imageMogr2/thumbnail/150x)
隗永秋医生
🍀🍀🍀祝好
提示:疾病因人而异,他人的咨询记录仅供参考,擅自治疗存在风险。
咨询时间: 2023-08-21