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对胃食管反流病误诊为冠心病心绞痛2例分析如下。1病历摘要例1:女,53岁。因反复胸痛4 a,加剧4个月,当地医院诊断为冠心病心绞痛。胸痛以胸骨中下段绞痛为主,持续数10 m in,不向他处放射,口服硝酸酯类药物,初有效,最近4个月发作于2:00左右,因胸骨后绞痛而醒。急来诊,查体:BP 135
2 cases of misdiagnosis of gastroesophageal reflux disease as coronary heart disease angina pectoris are as follows. 1 case summary 1: female, 53 years old. Due to repeated chest pain 4 a, exacerbated 4 months, the local hospital diagnosis of coronary heart disease angina. Chest pain in the lower part of the main sternal colic, sustained several 10 m in, not to other radiations, oral nitrates, initial effective attack in the last 4 months at about 2:00, wake up due to sternal colic. Urgent consultation, physical examination: BP 135