期刊文献+

食管钡餐造影在儿童慢性咽炎临床诊断中的应用价值 被引量:1

THE APPLICATION VALUE OF ESOPHAGOGRAPHY IN THE CLINICAL DIAGNOSIS OF CHRONIC PHARYNGITIS IN CHILDREN
原文传递
导出
摘要 目的总结食管钡餐造影在小儿慢性咽炎临床诊断中的应用价值,探讨由胃食管反流病(GERD)引起的伴有咳嗽、咽异感等慢性咽炎症状的发病机制。方法选择2008年1月—2010年12月间符合慢性咽炎诊断标准的136例患儿进行临床分析并做食管钡餐造影等一些相关检查,对拟诊为GERD相关性咳嗽、咽异感的17例患儿进行抗反流治疗,并随访观察其疗效。结果本组患儿治疗后症状明显减轻或消失,随访6~12个月,15例病情稳定,未见复发;2例因停药过早导致病情反复,再次用药后症状缓解。治疗期间未发现有何药物不良反应。结论 GERD是引起慢性咳嗽、咽异感的主要病因,因此,对不明原因的慢性咳嗽患儿,应常规做食管钡餐造影的相关检查,对临床疑诊者可给予诊断性治疗,确诊为GERD相关性咳嗽、咽异感的患儿要坚持规范用药,方能取得满意疗效。 Objective To summarize application value of esophagography in chronic pharyngitis of children and to investigate the mechanism of cough and foreign body sensation in the pharynx symptoms of chronic pharyngitis caused by gastroesophageal reflux disease(GERD) Methods From January,2008 to December,2010,136 child patients had made clinical analysis and some relevant checkup such as esophag0g- raphy . 17 child patients were diagnosed with GERD- related cough and foreign body sensation in the phar- ynx disease were treated by anti- GERD and were observed curative effect through following up. Results The sick child patients were treated,the symptoms of patients were relieved or disappeared. During a fol- lowing- up of 6 to 12 months, 15 cases with stable disease had not found recurrence and 2cases suffered relqpse after early discontinuation of the drug but the symptoms were alleviated after taking drugs again. Conclusion GERD is the main cause of chronic cough and foreign body sensation in the pharynx. So chil- dren with chronic cough of unknown origin shoud do relevant checkup of esophagography. Dubious patients can give diagnostic treatment. Child patients with GERD- related cough and foreign body sensation in the pharynx disease should use drug sustained and regular.
出处 《中国煤炭工业医学杂志》 2012年第4期500-501,共2页 Chinese Journal of Coal Industry Medicine
关键词 胃食管返流 慢性咳嗽 食管钡餐造影 抗反流治疗 儿童 gastroesophageal reflux chronic cough esophagography anti- GERD therapy children
  • 相关文献

参考文献6

二级参考文献53

  • 1朱珠,蔡乐.质子泵抑制剂的安全性与合理应用[J].药物不良反应杂志,2005,7(2):81-90. 被引量:56
  • 2江米足,叶瑞云,欧弼悠,陈肖肖,吴秀英,章许平.动态24小时食管pH值监测小儿胃食管返流[J].中华儿科杂志,1997,35(5):260-263. 被引量:14
  • 3胡波,邵俊彦.小儿胃食管返流[J].国外医学(儿科学分册),1997,24(3):148-150. 被引量:10
  • 4施诚仁.小儿胃食道反流[A].见:陈树宝主编.儿科学新理论新技术 第l版[C].上海:上海科技教育出版社,1997.415.
  • 5罗金燕,中华消化杂志,1991年,11卷,157页
  • 6罗金燕,中华结核和呼吸杂志,1989年,12卷,135页
  • 7罗金燕,中华消化杂志,1989年,9卷,20页
  • 8Hillemier AC.Gastroesophageal reflux:diagnostic and therapeutic approaches.Pediatric Clin North Am,1996,43(1):197
  • 9Biox Ochia J,Lafuente JM,Gil Vernet JM,et al.Twenty-four hour esophageal pH monitoring in gastroesophageal reflux.J Pediatric Surg,1980,15(1):74
  • 10Irwin RS. The diagnosis and treatment of cough. N Engl J Med,2000,343(23) : 1715-1721.

共引文献83

同被引文献9

引证文献1

二级引证文献1

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部