引起胸痛的原因很多,但由食管疾病引起的食管源性胸痛亦不少见。有研究表明,首次以胸部绞痛就诊的患者中有10-20%是食管疾病所致。食管源性胸痛是指由食管疾病引起的胸痛,通常指胃食管反流痛、反流性食管炎、弥漫性食管痉挛、食管裂孔疝、贲门失驰缓症等引起的胸痛。胃食管反流病疼痛位于胸骨后、剑突下,常放射到胸、背、肩、颈、下颌、耳和上肢,向左臂放射较多。常有烧心、反胃、吞咽困难,后者早期为间歇性发作,因炎症刺激引起食管痉挛所致,晚期吞咽困难进行性加重,因癍痕和狭窄造成。烧心常见,多为上腹部或胸骨后的一种温热感或烧灼感,多出现于饭后1-2小时。食餐量越大,症状越明显。一些患者出现反胃,是指在无恶心、干呕、无腹部收缩,不用力的情况下,胃内容物上溢,涌入口咽部。部分患者可出现咽部异物感、发音困难、 There are many reasons for chest pain, but esophageal chest pain caused by esophageal disease is not uncommon. Studies have shown that 10-20% of first-time patients with chest pain are due to esophageal disease. Esophageal chest pain refers to chest pain caused by esophageal disease and usually refers to chest pain caused by gastroesophageal reflux pain, reflux esophagitis, diffuse esophageal spasm, esophageal hiatal hernia, cardia dementia and the like. Gastroesophageal reflux disease pain is located in the sternum, the xiphoid, often radiating to the chest, back, shoulders, neck, jaw, ears and upper limbs, radiation to the left arm more. Often heartburn, nausea, swallowing difficulties, the latter for the early episode of intermittent episodes of inflammation caused by esophageal spasm due to advanced dysphagia, due to signs and stenosis. Heartburn common, mostly after the upper abdomen or sternum, a warm feeling or burning sensation, mostly in 1-2 hours after a meal. The greater the amount of meal, the more obvious symptoms. Some patients with nausea, refers to the nausea, retching, no abdominal contraction, without force, the contents of the stomach overflow, pouring into the oropharynx. Some patients may have foreign body sensation pharynx, pronunciation difficulties,