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目的:探讨呼吸系统症状在胃食管反流病(GERD)诊断中的地位。方法分析26例以呼吸系统症状为主要表现的胃食管反流病的诊治经过。结果本组26例以呼吸系统症状为主要表现者在确诊GERD前治疗效果极差,经胃镜及食道功能检查确诊后,应用质子泵抑制剂、全胃肠动力药及胃粘膜保护剂治疗随访,不但临床症状消失,且复查胃镜及食管功能检查结果正常。结论咳嗽、喘息、胸痛、胸闷及咽部异物感等呼吸系统症状不是GERD诊断的主要特点,但却是常见的临床表现,因此,对久治不愈的慢性咳嗽、哮息、胸痛及咽喉部炎症患者,必须考虑是否存在GERD,24小时食管内PH监测是可靠的诊断方法。
Objective: To investigate the status of respiratory symptoms in the diagnosis of gastroesophageal reflux disease (GERD). Methods The diagnosis and treatment of 26 cases of gastroesophageal reflux disease with respiratory symptoms as the main manifestation were analyzed. Results The group of 26 patients with respiratory symptoms as the main performance in the diagnosis of GERD before treatment is very poor, confirmed by gastroscopy and esophageal function examination, the application of proton pump inhibitors, total gastrointestinal motility drugs and gastric mucosal protective agent treatment follow-up, Not only clinical symptoms disappear, and review of endoscopy and esophageal function test results were normal. Conclusions Respiratory symptoms, such as cough, wheezing, chest pain, chest tightness and foreign body sensation, are not the main features of GERD diagnosis, but they are common clinical manifestations. Therefore, chronic cough, asthma, chest pain and throat inflammation, Must consider the presence of GERD, 24-hour esophageal PH monitoring is a reliable diagnostic method.