贲门失弛缓症又称食管贲门失弛缓症,是食道神经肌肉功能障碍,食管下端括约肌弛缓不全所致的一种疾病。相当祖国医学的“噎(?)”。多见于青壮年。我院见到高龄老年人贲门失弛缓症引致营养不良而死亡1例,现进行讨论.男患,72岁,2个月来咽下困难,食物返流伴剑突下区域疼痛,近数日来加重,于1994年3月2日入院。病人缘自2个月前逐现咽下困难,咽固体食物为然,呈间断性,时有时无,时轻时重,并有饭后饱满感,偶有发生胃内容物的返流现象,但无明显腐败或酸性气味,通常于吐后自觉饱满感减轻,常有剑突下隐痛.3天来.较频繁性返觅食物,体力不支来院诊治。病来两便正常,睡眠尚可,无干咳、气蹩、呃逆及声音嘶哑等现象发生。体格检查:体温36.5℃,脉搏90次/min,血压14.7/9.3kPa,神志清楚,语言流利,自由体位,营养略差,皮肤弹性减弱,无黄染及出血,无肝掌及蜘蛛痣,亦无水肿.浅在淋巴结未扪及,心肺正常,腹部平坦,无肠型及蠕 Cardiac achalasia, also known as esophageal achalasia, is a disease caused by esophageal neuromuscular dysfunction, esophageal sphincter relaxation caused by incomplete. Quite the motherland medicine “噎 (?)”. More common in young adults. In our hospital, one case of malnutrition caused by achalasia in the elderly was observed in 1 case, which is discussed now. Male patient, 72 years old, with swallowing difficulties in 2 months, food reflux with pain in the area under the xiphoid process, To aggravate, in March 2, 1994 admission. Patients from 2 months ago, swallowing difficulties, pharyngeal solid food, however, was intermittent, sometimes no time, when light weight, and a sense of fullness after a meal, occasional occurrence of reflux of gastric contents, But no obvious corruption or sour smell, usually after vomiting consciously reduce the sense of fullness, often xipid pain .3 days to more frequent return to find food, physical strength to hospital for treatment. Sick to two will be normal, sleep is acceptable, no dry cough, bad air, hiccups and hoarseness and other phenomena occur. Physical examination: body temperature 36.5 ℃, pulse 90 beats / min, blood pressure 14.7 / 9.3kPa, clear consciousness, fluency, free position, slightly poor nutrition, skin elasticity weakened, yellow dye and bleeding, liver palms and spider nevus No edema. Shallow lymph nodes not palpable, normal heart and lungs, flat belly, no intestinal type and creep