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| 胃食管反流病1014例住院患者的诊治分析 | |
| 引用本文： | 宁雅婵,汪忠镐,吴继敏,来运钢,季峰,高翔,张成超,李治仝,陈秀,刘登科. 胃食管反流病1014例住院患者的诊治分析[J]. 中华普外科手术学杂志(电子版), 2010, 4(3): 23-26. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.008 |
| 作者姓名： | 宁雅婵 汪忠镐 吴继敏 来运钢 季峰 高翔 张成超 李治仝 陈秀 刘登科 |
| 作者单位： | 1. 100088,北京,第二炮兵总医院胃食管反流中心;首都医科大学宣武医院血管外科 2. 第二炮兵总医院胃食管反流中心,北京,100088 3. 河北省邯郸市中心医院普通外科 4. 首都医科大学宣武医院血管外科 |
| 摘 要： | 目的探讨胃食管反流病(GERD)流行病学特点、临床症状及诊治方法。方法收集解放军第二炮兵总医院胃食管反流病中心从2006年10月至2009年11月入院诊治的1014例GERD患者临床资料,对患者性别、年龄、地域分布、临床症状及诊治进行分析。结果本组1014例GERD患者中,临床典型症状248例(24.5%),主要表现为反酸、反食、烧心等症状;非典型性症状766例(75.5%),以喘息、憋气最多,其次分别为咳嗽、咳痰、咽部异物感、咽痛、胸痛等。入院前741例患者(73.1%)被误诊,分别诊断为哮喘、支气管炎、慢性咽炎、冠心病等,确诊GERD后472例患者采用Stretta射频治疗,378例患者采用腹腔镜Nissen胃底折叠术治疗,164例患者采用药物治疗。结论胃食管反流病的表现复杂多样,涉及多个系统、器官,加强该病的全面认识,做到早期诊断及治疗,避免误诊误治,从而改善预后,提高患者生活质量。 |
| 关 键 词： | 胃食管反流 哮喘 导管消融术 胃底折叠术 |
Diagnosis and treatment of gastroesophageal reflux disease: report of 1014 cases |
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| NING Ya-chan,WANG Zhong-gao,WU Ji-min,LAI Yun-gang,JI Feng,GAO Xiang,ZHANG Cheng-chao,LI Zhi-tong,CHEN Xiu,LIU Deng-ke. Diagnosis and treatment of gastroesophageal reflux disease: report of 1014 cases[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Version, 2010, 4(3): 23-26. DOI: 10.3877/cma.j.issn.1674-3946.2010.03.008 | |
| Authors: | NING Ya-chan WANG Zhong-gao WU Ji-min LAI Yun-gang JI Feng GAO Xiang ZHANG Cheng-chao LI Zhi-tong CHEN Xiu LIU Deng-ke |
| Affiliation: | NING Ya-chan,WANG Zhong-gao,WU Ji-min,LAI Yun-gang,JI Feng,GAO Xiang,ZHANG Cheng-chao,LI Zhi-tong,CHEN Xiu,LIU Deng-ke.Center of Gastroesophageal Reflux Disease,General Hospital of Second Artillery Corps of PLA,Beijing 100088,China |
| Abstract: | Objective To investigate the epidemical features,clinical symptoms,diagnosis and treatment of gastroesophageal reflux disease (GERD). Methods From October 2006 to November 2009,1014 cases of gastroesophageal reflux disease were reviewed at the Center of Gastroesophageal Reflux Disease,General Hospital of the Second Artillery Corps of PLA. The clinical features analyzed included sex,age,geographical distribution,symptoms,diagnosis and treatment. Results In the 1014 patients,248 (24.5%) pre|sented typical sy... |
| Keywords: | Gastroesophageal reflux Asthma Catheter ablation Fundoplication |
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