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患者女,37岁,公务员,BMI18kg/m2,主因“发作性胸骨后疼痛半年,加重5h”入院。患者半年前无明显诱因反复出现胸骨后疼痛,每次持续5～10min不等,无反射痛,发作时间在下午及夜间,上午无发作,休息可缓解。在各大医院就诊,查心电图(图1)、超声心动图、胸片均未见异常,诊断为反流性食管炎。间断服奥美拉唑肠溶片,病情无明显变化。1个月前患者胸痛加
Female patient, 37 years old, civil servant, BMI18kg / m2, mainly due to “episodic sternal pain after six months, increased 5h ” admission. Six months ago, there was no obvious incentive for recurrence of post-sternal pain, each lasting 5 ~ 10min range, no reflex pain, attack time in the afternoon and night, morning without seizures, rest can be alleviated. In major hospitals for treatment, check the electrocardiogram (Figure 1), echocardiography, chest X-ray showed no abnormalities, the diagnosis of reflux esophagitis. Intermittent omeprazole enteric-coated tablets, no significant change in condition. 1 month ago, patients with chest pain plus