胃食管反流诱发吸入性肺炎诊断的探讨(附12例临床分析)

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我院近五年来共收治肺炎425例,其中胃食管反流所致吸入性肺炎12例。临床资料本组12例中:男9例,女3例;年龄45~67岁,平均55.83岁。本组12例均经X线检查确诊有肺部炎症并有下列4项中2项以上者:①有胃食管反流疾病如食道裂孔疝、贲门失弛缓症、胃切除尤其胃切除BillrotbⅡ式手术史;②有反酸或反苦味液体、烧心、嗳气、胸骨下烧灼痛或不适感,常伴吞咽障碍;③无哮 Nearly five years my hospital admitted to 425 cases of pneumonia, including gastroesophageal reflux caused by aspiration pneumonia in 12 cases. Clinical data of this group of 12 patients: 9 males and 3 females; aged 45 to 67 years, mean 55.83 years old. The group of 12 patients were diagnosed by X-ray examination of lung inflammation and have the following 4 in 2 or more: ① gastroesophageal reflux disease such as esophageal hiatal hernia, achalasia, gastrectomy, especially the gastrectomy Billrotb Ⅱ type surgery History; ② acid reflux or bitter liquid, heartburn, belching, sore chest pain or discomfort, often accompanied by dysphagia; ③ no asthma
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