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目的:探讨由胃食管反流引起胸痛的临床特点及质子泵抑制剂(PPI)治疗的效果。方法:回顾性分析37例由于胃食管反流引起胸痛患者的临床表现及PPI的治疗效果。结果:37例患者PPI治疗前曾误诊为心绞痛、胸膜炎、心脏神经官能症等,专科治疗无效,而PPI治疗效果较好。结论:对临床上因胸痛伴反流或烧心就诊于各有关专科患者经相应的治疗无效或疗效欠佳时,应考虑存在胃食管反流病的可能,应及时行胃镜检查和PPI治疗。
Objective: To investigate the clinical features of chest pain caused by gastroesophageal reflux and the effect of proton pump inhibitor (PPI) treatment. Methods: A retrospective analysis of 37 cases of gastroesophageal reflux caused by chest pain in patients with clinical manifestations and PPI treatment. Results: 37 patients had been misdiagnosed as angina pectoris, pleurisy, cardiac neurosis before PPI treatment. The treatment with PPI was ineffective and the PPI treatment was better. CONCLUSION: Gastroesophageal reflux disease should be considered when clinical treatment of chest pain associated with reflux or heartburn should be considered in all relevant specialist patients after the corresponding treatment is ineffective or ineffective. Gastroscopy and PPI should be performed in time.