临床误诊误治2012，Vol.25Issue(7)：6-8,3.DOI:10.3969/j.issn.1002-3429.2012.07.003
以胸痛为首发表现的反流性食管炎误诊为心绞痛48例剖析
Analysis of Patients with Chest Pain as the First Symptom of the Reflux Esophagitis Misdiagnosed as Angina Pectoris (48 Cases)
摘要
Abstract
Objective To study the clinical characteristics of reflux esophagitis (RE) featured with chest pain in order to improve the correct diagnosis rate of RE. Methods The clinical data of 48 misdiagnosed RE cases selected from 625 RE cases admitted during February 2006 and February 2011 were retrospectively analyzed. Results The initial symptoms of 48 cases in this group were chest pain, and at the first visit were misdiagnosed as angina pectoris. Misdiagnosis rate was 7.7% (48/625). Chest pain was not relieved by expanding coronary artery and anticoagulation therapy. RE was comfirmed by gastroscopy, and the symptoms subsided after 8 weeks of treatment by the histamine H2 receptor antagonists or proton pump inhibitors enhancing gastrointestinal motility. Conclusion Induced chest pain of RE can be easily misdiagnosed as cardiac chest pain. Clinicians should improve the knowledge of RE. The following medical examinations contribute to the early diagnosis and treatment of RE, such as detailed medical history and application of appropriate medical techniques of differential diagnosis.关键词
食管炎,消化性/胸痛/误诊/心绞痛Key words
Esophagitis, peptic/ Chest pain/ Diagnostic error/ Angina pectoris分类
医药卫生引用本文复制引用
许卫君,丁淳,吕莉慧,潘士勇..以胸痛为首发表现的反流性食管炎误诊为心绞痛48例剖析[J].临床误诊误治,2012,25(7):6-8,3.基金项目
南京军区医药卫生科研基金(11MA102) （11MA102）
