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目的探讨胃心综合征的临床表现和诊断方法。方法分析81例胃心综合征的临床表现,诊治过程及容易误诊的原因。结果胸骨后疼痛及上腹不适感是本综合征的常见症状,与心绞痛极易混淆,心电图以缺血之ST-T改变为主,扩血管药物有时有效,发病年龄较轻。治疗原发病是治疗本病的主要手段。结论本综合征表现形式较多样化,临床上极易误诊,早期诊断、及时治疗原发病是获得较好预后的关键。
Objective To investigate the clinical manifestations and diagnosis of gastric heart syndrome. Methods The clinical manifestations, diagnosis and treatment of 81 cases of gastric heart syndrome and the causes of misdiagnosis were analyzed. Results post-sternal pain and upper abdominal discomfort is a common symptom of this syndrome. It is easily confused with angina pectoris. The electrocardiogram is mainly ischemic ST-T. The vasodilator drugs are sometimes effective and the age of onset is relatively young. The treatment of primary disease is the treatment of the disease the main means. Conclusion The syndromes are more diversified in form, easily misdiagnosed clinically, early diagnosis and timely treatment of the primary disease is the key to better prognosis.