胃食管反流病误诊为哮喘21例临床分析

Clinical analysis of gastroesophageal reflux disease misdiagnosed as asthma in 21 cases

目的探讨胃食管反流病误诊为哮喘的原因,为减少误诊提供参考。方法回顾性分析21例胃食管反流病误诊为哮喘患者的临床资料,根据临床特征分析误诊原因,探讨减少误诊策略。结果 21例患者均误诊为哮喘,误诊时间最短为半年,最长达6年。正确诊断后,经抗反流治疗1周后症状明显缓解16例(76.2%)2,周后症状缓解率达95.2%。经维持治疗6个月的18例患者中,症状完全缓解并无复发12例,复发6例。结论胃食管反流病误诊为哮喘的主要原因在于该类患者的首发症状是以哮喘症状为主。应提高认识、全面检查减少误诊的发生。

Objective To discuss the causes of misdiagnosis in gastroesophageal reflux disease（GERD） and to provide references for its prevention.Methods The clinical characteristics of the 21 misdiagnosed cases were summarized and the causes of misdiagnosis were analyzed in an aim to formulate preventing strategies.Results Totally 21 patients with GERD were misdiagnosed as asthma.The misdiagnosis lasted for half a year to six years.Through one week＇s esophageal reflux treatment,the symptoms in 16 cases were obviously alleviated（76.2%）.The symptom relieve rate amounted to 95.2% two weeks after treatment.All 18 cases which received treatment consistently for six months recovered completely with only six cases experiencing recurrence.Conclusion The cause of the misdiagnosis is that the primary symptom of patients with GERD is similar to that of asthma.Awareness should be aroused to prevent the misdiagnosis through comprehensive examination.