摘要
目的探讨以胸痛为主要表现的胃食管反流病的病因、临床特点及诊治方法。方法选择本院近年来诊治的16例已排除心源性及食管器质性病变的胸痛患者,对其发病原因、临床特点、诊断、治疗方法及治疗效果进行回顾性分析。结果经抗反流治疗2～4周后,其中9例(56.25%)胸痛及胃食管反流症状完全消失,5例(31.25%)用药后明显缓解,1例(6.25%)无效,总有效率达93.75%。结论胃食管反流病病因复杂、临床表现多样易误诊漏诊,必要的辅助检查结合质子泵抑制剂试验性治疗是确诊本病的关键。
Objective Approach to the pathogenesis,clinical characteristics,diagnosis and treatment on gastroesophageal reflux disease (GERD) with chest pain as primary manifestation. Methods A retrospective analysis on 16 patients with chest pain excluded of cardiac or esophageal structural disease. Results After 2～4 weeks anti-reflux therapy,9 among which completely relieved of chest pain and reflux,5 (31.25%) significantly relieved,and only 1 (6.25%) without any improvement,the total efficacy is 93.75%. Conclusion The complicated pathogenesis and clinical manifestation of GERD can easily be misdiagnosed,its key diagnostic procedure is necessary examination combined with proton pump inhibitor experimental treatment.
出处
《中国实用医药》
2009年第6期178-179,共2页
China Practical Medicine
关键词
胃食管反流病
胸痛
临床特点
Gastroesophageal reflux disease
Chest pain
Clinical characteristics
