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胃酸返流引起的烧心感是胃-食管返流病(GORD)的主要症状。然而,未经治疗的贲门失弛缓症患者也常有烧心感,其原因尚不明。作者对有及无烧心感的未治疗过之贲门失弛缓症患者的临床特征进行了比较,以探索贲门失弛缓症患者烧心感的含意。 方法:作者复习了曾在Beth Isreal医院诊治的107例贲门失弛缓症患者的医疗记录,其中67例符合标准而被纳入本研究。根据有或无烧心感(胸骨后不适之烧灼感)将患者分成有烧心感组(32例)和无烧心感组(35例)。根据烧心感与咽下困难起病间的关系,前组又被分成几个亚组。
Heartburn caused by gastric acid reflux is the main symptom of gastric-esophageal reflux disease (GORD). However, patients with achalasia untreated often have heartburn, the reason for which is unknown. The authors compared the clinical features of untreated achalas in patients with and without heartburn to explore the implications of heartburn in patients with achalasia. METHODS: The authors reviewed the medical records of 107 patients with achalasia who had undergone treatment at Beth Isreal Hospital, 67 of whom were eligible for inclusion in the study. The patients were divided into a heart-burning group (32 cases) and a heartless group (35 cases) according to the presence or absence of a heartburn (a sense of burning after discomfort). According to the relationship between heartburn and dysphagia, the former group was divided into several subgroups.