论文部分内容阅读
据许多心脏病中心的心血管造影证实,大约四分之一怀疑有心绞痛的病人冠状血管显示正常。此类胸痛部分可由微血管心绞痛或氧合血红蛋白离解缺陷所致,但常被认为由食管疾病引起。心绞痛样胸痛归因于食管疾病应符合下列条件:1.排除冠心病;2.胸痛发作与胃食管返流或食管运动失调在时间上相符;3.胃食管返流及运动障碍的程度足以解释胸痛的发生。诊断此类胸痛的3种主要的激发试验是:乙基二甲胺试验、酸灌注试验和气囊扩张试验。麦角新碱试验过于危险,不能常规应用。Peters等对每天有胸骨后痛发作的24例病人进行
Cardiovascular angiography in many cardiology centers confirms that approximately a quarter of coronary vessels in patients with angina pectoris are normal. Some of these chest pain can be caused by microvascular angina pectoris or oxyhemoglobin dissociation defects, but is often thought to be caused by esophageal disease. Angina-like chest pain due to esophageal disease should meet the following conditions: 1. To rule out coronary heart disease; 2. Chest pain episodes and gastroesophageal reflux or esophageal dyskinesia in time; 3. Gastroesophageal reflux and dyskinesia degree enough to explain The occurrence of chest pain. The three main proving tests for diagnosing such chest pain are: ethyldimethylamine test, acid perfusion test, and balloon dilation test. Ergometrine test is too dangerous and can not be routinely used. Peters et al. Performed 24 patients who had episodes of a post-sternal pain on a daily basis