中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
22期
73-73,74
,共2页
剥脱性食管炎%临床表现%内镜%诊断
剝脫性食管炎%臨床錶現%內鏡%診斷
박탈성식관염%림상표현%내경%진단
Exfoliative esophaqitis%Clinical%Endoscopy%Diagnosis
目的探讨剥脱性食管炎患者的临床特点及内镜表现，提高对本病的认识水平。方法回顾性分析1997年1月至2011年10月诊治的剥脱性食管炎患者临床及内镜检查资料。结果18例剥脱性食管炎，均经保守治疗痊愈，年龄19～63岁，平均年龄38.9岁，有明确吞食干硬粗糙物史者13例。吞咽疼痛18例，呕血8例，胸痛9例。食管黏膜缺损5例，黏膜剥脱12例，黏膜下血肿8例。结论剥脱性食管炎患者多有吞食干硬粗糙物史，以吞咽疼痛，呕血及胸骨后疼痛多见。内镜检查有利于及早确诊及治疗，表现为食管黏膜剥脱、黏膜下血肿、黏膜缺损、出血，具有特征性表现。
目的探討剝脫性食管炎患者的臨床特點及內鏡錶現，提高對本病的認識水平。方法迴顧性分析1997年1月至2011年10月診治的剝脫性食管炎患者臨床及內鏡檢查資料。結果18例剝脫性食管炎，均經保守治療痊愈，年齡19～63歲，平均年齡38.9歲，有明確吞食榦硬粗糙物史者13例。吞嚥疼痛18例，嘔血8例，胸痛9例。食管黏膜缺損5例，黏膜剝脫12例，黏膜下血腫8例。結論剝脫性食管炎患者多有吞食榦硬粗糙物史，以吞嚥疼痛，嘔血及胸骨後疼痛多見。內鏡檢查有利于及早確診及治療，錶現為食管黏膜剝脫、黏膜下血腫、黏膜缺損、齣血，具有特徵性錶現。
목적탐토박탈성식관염환자적림상특점급내경표현，제고대본병적인식수평。방법회고성분석1997년1월지2011년10월진치적박탈성식관염환자림상급내경검사자료。결과18례박탈성식관염，균경보수치료전유，년령19～63세，평균년령38.9세，유명학탄식간경조조물사자13례。탄인동통18례，구혈8례，흉통9례。식관점막결손5례，점막박탈12례，점막하혈종8례。결론박탈성식관염환자다유탄식간경조조물사，이탄인동통，구혈급흉골후동통다견。내경검사유리우급조학진급치료，표현위식관점막박탈、점막하혈종、점막결손、출혈，구유특정성표현。
Objective To investigate the exfoliative esophagitis in patients with clinical characteristics and endoscopic findings, raise the level of awareness of the disease. Methods A retrospective analysis in January 1997-October 2011 exfoliative esophagitis diagnosis and treatment of clinical and endoscopic examination data. Results 18 cases of exfoliative esophagitis were cured by conservative treatment, aged 19 to 63 years, mean age 38.9 years, with a clear history of swallowing hard, dry rough material in 13 cases. Pain on swallowing 18 cases, 8 cases vomiting, chest pain in 9 cases. 5 cases of esophageal mucosal defects, mucosal stripping 12 cases, 8 cases of submucosal hematoma. Conclusion Exfoliative esophagitis patients have swallowed hard, dry rough material history to swallowing pain, vomiting and chest pain more common. Endoscopy favor early diagnosis and treatment, the performance of the esophageal mucosa exfoliation, submucosal hematoma, mucosal defects, bleeding, with a characteristic performance.
