以呼吸道疾病为主要症状的胃食管反流病临床分析37例

The Clinical Analysis about Respiratory Disease was the Main Symptoms of Gastroesophageal Reflux Disease Diagnosis of 37 Cases

目的通过以呼吸道疾病为主要症状的胃食管反流病的诊断,总结永煤集团总医院胃食管反流病诊断治疗的经验。方法永煤集团总医院2007年1月至2009年12月收治胃食管反流病97例,对其中以呼吸道疾病为主要诊断的37例(误诊为支气管炎19例,哮喘6例,慢性咽炎8例、肺炎4例)经胃镜检查确诊为反流性食管炎(A级10例,B级20例,C级7例)的患者进行回顾性分析。结果所有就诊病例均给予6周PPI制酸及胃肠动力药物治疗,继发呼吸道感染者给予短期抗感染等对症治疗,6周后咳嗽等症状均消失。结论临床医师在胃食管反流病的诊疗过程中应注意其呼吸系统的症状,提高诊疗水平。

Objective To respiratory diseases as the main symptoms of gastroesophageal reflux disease diagnosis, to conclude General Hospital of Yongcheng Coal Industry Group experience in diagnosis and treatment of gastroesophageal reflux disease. Methods From January 2007 to December 2009 in General Hospital of Yongcheng Coal Industry Group were treated 97 cases of gastroesophageal reflux disease, on which the respiratory disease as the primary diagnosis in 37 cases （19 cases misdiagnosed as bronchitis, asthma and 6 cases, 8 cases of chronic pharyngitis, pneumonia, 4 cases） diagnosed by endoscopy reflux esophagitis （A grade of 10 cases, B grade in 20 cases, C grade = 7） patients were analyzed retrospectively. Results All patients were given 6 weeks, visits PPI acid and gastrointestinal drugs, respiratory tract infection secondary to anti-infection and other short-term symptomatic treatment, 6 weeks after the cough and other symptoms disappeared. Conclusion The clinician＇s diagnosis and treatment of gastroesophageal reflux disease should pay attention to their respiratory symptoms, improve diagnosis and treatment.