老年反流性食管炎27例误诊分析

Misdiagnosis analysis for 27 elderly pafients with refluxesophagitis

目的探讨老年人反流性食管炎误诊的原因、确诊思路与方法。方法回顾27例被误诊为循环呼吸系统疾病的老年反流性食管炎患者的临床资料,分析误诊原因、诊断思路与确诊方法。结果所有患者经胃镜确诊为反流性食管炎,经6周-12周抗反流治疗后,症状完全缓解17例,10例明显减轻。结论老年反流性食管炎与非老年患者相比,具有发病率高、病变程度重、不典型症状及食管外症状多的特点,在诊断时应详细询问病史,必要时行内镜检查,防止误诊。

Objective To investigate the misdiagnosis reasons,diagnostic idea and treatment for Elderly pafients with refluxesophagitis.Methods Retrospecively analyzed the clinical data of 27 cases of elderly patients with refluxesophagitis to analyze the reasons diagnostic idea and treatment.Results All patients were diagnosed with refluxesophagitis by endoscopic.The symptoms disappeared completely in 17 cases after anti reflux treatment which was lasted for 6-12 week,and were relieved in 10 cases.Conclusion Compared with non-elderly,elderly pafients with refluxesophagitis have a high incidengce of disease,severe and atypical symptoms.The diagnosis should be based on detailed history and endoscopy to prevent misdiagnosis.