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作者报道5例疱疹性食管炎,均为15~23岁男性,既往健康,求医前均有急性吞咽痛,表现为吞咽时胸骨后剧痛,持续1~3天。在此之前,5例均有发热、喉痛或肌痛等似流感症状,为期3~7天。其中2例就诊时发现唇部或口腔粘膜有溃疡,另1例主诉其女友数周前曾患“口疮”。所有患者均否认曾用任何可致食管炎的口服药。 5例X线均显示很多直径约为2~5mm的小溃疡,所见相似。经钡餐造影,表浅的溃疡区呈清晰点状或线状,难以数计。在食管中1/3处,近于
The authors report 5 cases of herpes esophagitis, are 15 to 23-year-old male, past health, before treatment are acute swallowing pain, manifested as swallowing chest pain after the last 1 to 3 days. Prior to this, five cases had fever, sore throat or myalgia and other flu-like symptoms for a period of 3 to 7 days. Two of them found ulcers in their lips or oral mucosa at the time of their visit, and the other 1 complained of having “mouth sores” a few weeks before their girlfriend. All patients denied having used any orally administrable esophagitis. 5 cases of X-ray showed many small ulcers with a diameter of about 2 ~ 5mm, similar to the findings. The barium meal angiography, superficial ulcer area was clear point or linear, it is difficult to count. In the esophagus in 1/3, near