临床误诊误治2016，Vol.29Issue(4)：26-28,3.DOI:10.3969/j.issn.1002-3429.2016.04.009
胃食管反流病33例误诊原因分析
Analysis of 33 Cases of Gastroesophageal Reflux Disease
邓丽娟 1王月兴 1郭豫兰1
作者信息
- 1. 614000 四川 乐山，武警四川总队医院内二科
- 折叠
摘要
Abstract
Objective To investigate the clinical characteristics, diagnostic method and misdiagnosis cause of gas-troesophageal reflux disease in order to raise awareness of the disease. Methods Analysis of 33 cases of gastroesophageal re-flux disease in our hospital during May 2014 and May 2015 was conducted and the relevant literature was reviewed. Results The main symptoms were extraesophageal symptoms:cough in 15 cases, 8 cases of chest pain, throat irritation in 6 cases, on-ly 4 cases with typical symptoms of esophageal reflux. 33 cases were misdiagnosed in other hospitals and other departments of our hospital. 11 cases (33. 33%) were misdiagnosed as bronchitis, 7 cases (21. 21%) were misdiagnosed as chronic sore throat, 6 cases (18. 18%) were misdiagnosed as coronary heart disease and angina pectoris, and 4 cases (12. 12%) were misdiagnosed as anxiety, 2 cases (6. 06%) were misdiagnosed as bronchial asthma, 1 case (3. 03%) was misdiagnosed as esophageal cancer, and 1 case as menopausal syndrome and recurrent oral ulcer. 29 cases were confirmed by endoscopy and 4 cases were confirmed by proton pump inhibitor (PPI). After the diagnosis, all the patients were cured following adequate treatment of PPI treatment. Conclusion GERD symptoms are complicated without specificity, therefore it can be easily mis-diagnosed. Physicians of department of respiration, department of ENT and cardiovascular department should be familiar with the clinical symptoms of gastroesophageal reflux disease, so as to improve the diagnostic and differential diagnostic capability of the disease.关键词
胃食管反流病/误诊/支气管炎/心绞痛Key words
Gastroesophageal reflux/Misdiagnosis/Bronchitis/Angina pectoris分类
医药卫生引用本文复制引用
邓丽娟,王月兴,郭豫兰..胃食管反流病33例误诊原因分析[J].临床误诊误治,2016,29(4):26-28,3.
