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目的分析我院2005年以来误诊的18例胃食管反流性疾病患者的临床资料,提高对非典型胃食管反流病(GERD)的认识,减少误诊,使患者得到及时治疗。方法回顾性分析我院2005年以来临床中误诊的18例胃食管反流病,对误诊原因进行分析并结合文献进行讨论。结果本组18例患者,误诊为支气管哮喘8例,咽喉炎4例,慢性支气管炎6例。结论降低对非典型GERD误诊,关键是提高对GERD认识,临床上有些所谓的“哮喘”、“咳嗽”、“咽炎”可能是由于胃食管反流引起的,凡是经五官、呼吸科正规治疗无效患者应考虑GERD,并作相应胃镜及食管pH检测以确诊。
Objective To analyze the clinical data of 18 cases of gastroesophageal reflux disease misdiagnosed in our hospital since 2005, to raise awareness of atypical gastroesophageal reflux disease (GERD), to reduce the misdiagnosis, and to make the patients receive prompt treatment. Methods A retrospective analysis of 18 cases of gastroesophageal reflux disease misdiagnosed in our hospital from 2005 to 2005 was conducted. The causes of misdiagnosis were analyzed and the literature was discussed. Results 18 patients in this group were misdiagnosed as bronchial asthma in 8 cases, 4 cases of pharyngitis, chronic bronchitis in 6 cases. Conclusions To reduce the misdiagnosis of atypical GERD, the key is to raise awareness of GERD. Some so-called “asthma”, “cough” and “pharyngitis” may be caused by gastroesophageal reflux. , Respiratory patients should be considered regular treatment of invalid patients should be considered GERD, and for the corresponding endoscopy and esophageal pH test to confirm.