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消化道疾病可以引起胸痛。由于支配食管和心脏的自主神经是相似的,因此食管的疼痛往往与心绞痛相似。对有心绞痛样胸痛而缺乏诊断冠心病的客观依据的患者,其中半数是由于食管疾病引起的胸痛,其他如胃、十二指肠、胆道以及少数结肠、胰腺、肝脏、腹膜的疾病亦可以引起上腹痛或胸痛。当消化道疾病与心血管疾病同时存在时,诊断便较困难。某些激发试验可诱发消化道疼痛,将有助于诊断,但实际上常常还是依赖于临床经验进行鉴别诊断。
Digestive diseases can cause chest pain. Because the autonomic nerves that govern the esophagus and the heart are similar, esophageal pain often resembles angina. In patients with angina-like chest pain and lack of an objective basis for the diagnosis of coronary heart disease, half of them are chest pain due to esophageal disease. Other diseases such as the stomach, duodenum, biliary tract and a few colon, pancreas, liver and peritoneum may also cause Upper abdominal pain or chest pain. When digestive diseases and cardiovascular diseases co-exist, the diagnosis will be more difficult. Certain provocation tests can trigger gastrointestinal pain and will help diagnose but in practice often rely on clinical experience for differential diagnosis.