胃食管反流病引起呼吸及循环系统急症的临床症状特点分析  

Analysis of clinical characteristics of gastroesophageal reflux disease with respiratory and circulatory system in emergencies

作　　者：佐拉木.买买提 薛克栋[1] Zuolamu. Maimaiti;Xue Kedong(Department of intensive care unit, The people's Hospital of Xinjiang Uygur Autonomous Region, Urumqi 830001, China)

机构地区：[1]新疆维吾尔自治区人民医院重症医学一科,乌鲁木齐830001

出　　处：《中华胃食管反流病电子杂志》2017年第2期72-74,共3页Chinese Journal Of Gastroesophageal Reflux Disease(Electronic Edition)

摘　　要：目的探讨胃食管反流病(GERD)引起呼吸及循环系统急症患者的临床症状特点。方法回顾性分析2015年1月至2016年4月,新疆维吾尔自治区人民医院重症监护室住院治疗的32例GERD引起呼吸及循环系统急症患者临床资料,分析其临床症状特点。结果 32例患者中,心前区闷痛6例,胸骨后痛7例,胸痛伴左上肢放射痛4例,刺激性剧烈咳嗽伴呼吸困难3例,慢性咳嗽急性加重4例,哮喘急性发作7例,突发呼吸窘迫1例,均通过完善相关检查并给予抗反流治疗后,确诊上述症状是由GERD引起的。结论 GERD引起的呼吸及循环系统急症临床症状不典型,故经常因误诊或漏诊而不能予以正确、有效地治疗,在临床上应引起重视。Objective To investigate the clinical characteristics of gastroesophageal reflux disease(GERD)which lead to respiratory and circulatory system emergencies.Methods A retrospective analysis of the clinical characteristics among intensive care unit(ICU)patients with GERD and respiratory and/or circulatory system diseases in People's Hospital of Xinjiang Uygur Autonomous Region from January2015to April2016.Results32cases of emergency patients were admitted to the ICU,where6cases of them with central stuffiness and pain,7cases with chest pain and chest pain with left upper limb pain,4cases with paroxysmal cough with dyspnea,3cases with acute exacerbation of chronic cough in4cases,7cases with acute attack of asthma and sudden respiratory distress in1cases.They were all definitely diagnosed through the relevant inspection and administrated of anti-reflux as treatment with the above symptoms caused by GERD.Conclusion GERD related respiratory and circulatory system emergencies clinical symptoms are atypical.It is difficult to diagnose in time or accurately,and is worthy to be paid more attention to in clinic.

关 键 词：胃食管反流 呼吸系统 循环系统 急症 临床症状特点 

分 类 号：R571[医药卫生—消化系统]