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目的探讨以胸痛为主要表现的胃食管反流病的病因、临床特点及诊治方法。方法选择本院近年来诊治的16例已排除心源性及食管器质性病变的胸痛患者,对其发病原因、临床特点、诊断、治疗方法及治疗效果进行回顾性分析。结果经抗反流治疗2～4周后,其中9例(56.25%)胸痛及胃食管反流症状完全消失,5例(31.25%)用药后明显缓解,1例(6.25%)无效,总有效率达93.75%。结论胃食管反流病病因复杂、临床表现多样易误诊漏诊,必要的辅助检查结合质子泵抑制剂试验性治疗是确诊本病的关键。
Objective To investigate the etiology, clinical features, diagnosis and treatment of gastroesophageal reflux disease, which is characterized by chest pain. Methods Sixteen patients with chest pain who had been excluded from cardiogenic and esophageal organic diseases in our hospital in recent years were retrospectively analyzed for their causes, clinical features, diagnosis, treatment and treatment. Results After 2 to 4 weeks of anticoagulation therapy, 9 cases (56.25%) had complete disappearance of chest pain and gastroesophageal reflux symptoms, 5 (31.25%) were relieved after treatment, 1 case (6.25% Efficiency of 93.75%. Conclusions The causes of gastroesophageal reflux disease are complicated and the clinical manifestations are complicated and misdiagnosis is missed. The necessary auxiliary examination combined with the experimental treatment of proton pump inhibitor is the key to diagnosis of this disease.