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非心源性类似心绞痛的胸痛,至少有60%的疼痛是食道疾病所致。食道所引起的胸痛可由胃-食道反流而无食道运动失调,或食道运动失调而无胆汁反流产生。本文介绍某些患者出现类似心胶痛是因食道刺激所致。方法:本组33例,男20例,女13例;平均年龄49岁。均有严重的类似心绞痛胸痛.疼痛与运动有关15例,并经有关检查排除了冠状动脉器质性和功能性病变。疼痛与运动无关18例,心电图运动试验均正常。在食道内下段括约肌上5cm处测pH值,在3、10、
Non-cardiac angina similar to chest pain, at least 60% of the pain is caused by esophageal disease. Esophageal chest pain caused by the stomach - esophageal reflux without esophageal dyskinesia, or esophageal dysregulation without bile reflux. This article describes some patients with similar occurrence of gum pain is due to esophageal irritation. Methods: The group of 33 patients, 20 males and 13 females; mean age 49 years. All had severe chest pain similar to angina pectoris.Among 15 cases of pain and exercise, and ruled out by the relevant examination of coronary artery organic and functional lesions. Eighteen patients had no relationship with pain and exercise, ECG exercise test were normal. In the lower esophagus sphincter at 5cm measured at pH 3,10,