YANG Ping-lan. An Analysis of 16 Misdiagnoses on Middle and Old Aged GERD Patients Diagnosed as Coronary Heart Disease. [J]. Health Medicine Research and Practice (2):31-32(2008)
YANG Ping-lan. An Analysis of 16 Misdiagnoses on Middle and Old Aged GERD Patients Diagnosed as Coronary Heart Disease. [J]. Health Medicine Research and Practice (2):31-32(2008)DOI:
An Analysis of 16 Misdiagnoses on Middle and Old Aged GERD Patients Diagnosed as Coronary Heart Disease
摘要
目的提高对中老年人胃食管反流病(Gastroesophageal reflux disease
GERD)的认识
探讨GERD的临床特点
减少误诊误治。方法回顾性分析误诊的16例GERD患者
对其先后在多家医院诊治的临床资料和诊断结果进行总结分析
从中找出误诊的原因。结果GERD患者均表现为反复发作的胸痛或心前区痛
部分病例伴有胸闷、憋气、反酸、胸骨后烧灼感等
发作多与进食或体位有关。因其临床症状常不典型
尤其是中老年人的GERD
在出现胸痛时常误诊为冠心病心绞痛。结论GERD的误诊原因主要是医务人员对该病的临床表现认识不足
在临床诊疗过程中需注意鉴别诊断。
Abstract
Objective The analysis aims to enhance the knowledge of GERD
study its clinical characteristics
distinguish the method of diagnosis and treatment
and reduce misdiagnosis and wrong treatment.Method A retrospective study was made on 16 patients at Peking University’s 102 Clinic and the Center of Cardiovascular Disease.The clinical records and the diagnosis made by those clinics were analyzed to find out the reasons of misdiagnosis.Results GERD is a common gastrointestinal disease
its symptom is not distinctive
and its patients are easily diagnosed as coronary heart disease angina
especially with middle and old aged patients when they feel pain at heart.Conclusion The main reason of misdiagnosis of GERD is due to physicians’ lack knowledge of its clinical characteristics.
关键词
胃食管反流病中老年人误诊原因
Keywords
Gastroesophageal reflux diseaseMiddle and old aged patientsCause of misdiagnosis