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目的分析胃食管反流病发生误诊的原因,提出防范误诊措施。方法对导致56例胃食管反流病误诊患者的临床资料进行回顾性分析。结果误诊为呼吸系统疾病36例(64.29%),误诊为心血管疾病10例(17.86%),误诊为植物神经功能紊乱10例(17.86%)。56例胃食管反流病患者在确诊后给予2周的系统治疗,获得较好的临床疗效,其中治愈10例(17.86%),显效38例(67.86%),有效7例(12.50%),无效1例(1.79%),总有效率为98.21%。结论部分胃食管反流病以食管外症状为主要表现,易误诊为其他疾病,应仔细鉴别胃食管反流病,行胃镜检查或24h食管pH值测定及其他寻找胃食管反流证据的检查、给予质子泵抑制剂诊断性治疗,有助于正确诊断。
Objective To analyze the causes of misdiagnosis of gastroesophageal reflux disease and propose measures to prevent misdiagnosis. Methods The clinical data of 56 patients with misdiagnosis of gastroesophageal reflux disease were retrospectively analyzed. The results were misdiagnosed as respiratory disease in 36 cases (64.29%), misdiagnosed as cardiovascular disease in 10 cases (17.86%), misdiagnosed as autonomic dysfunction in 10 cases (17.86%). Sixty-six patients with gastroesophageal reflux disease were given systemic treatment for 2 weeks after the diagnosis. Among them, 10 cases (17.86%) were cured, 38 (67.86%) were effective, 7 (12.50%) were effective, Invalid 1 case (1.79%), the total effective rate was 98.21%. Conclusions Some gastroesophageal reflux disease is mainly characterized by extra-esophageal symptoms and is easily misdiagnosed as other diseases. Gastroesophageal reflux disease should be carefully identified. Gastroscopy or 24-hour esophageal pH measurement and other tests for finding evidence of gastroesophageal reflux should be performed. Give proton pump inhibitors diagnostic treatment, help correct diagnosis.