CAJ | 학술논문

目的：探讨胃食管反流病（GERD）患者误诊为冠心病原因，以避免临床出现误诊误治现象。方法：收集2007年6月-2013年12月门急诊GERD 患者误诊为冠心病26例，对临床误诊资料实施回顾性分析。结果：本组26例均有胸痛症状，伴放射痛7例，反酸、烧心6例，咳嗽2例。误诊为心绞痛23例，急诊心肌梗塞3例。误诊后，对患者实施胃镜检查，最终有效确诊GERD。应用质子泵抑制剂以及胃肠动力药治疗，患者的临床症状表现显著改善。结论：以胸痛为主要临床表现的GERD容易被误诊为冠心病，应对患者实施胃镜检查等相关的实验室检查，有效与冠心病等鉴别，防止误诊误治。
목적：탐토위식관반류병（GERD）환자오진위관심병원인，이피면림상출현오진오치현상。방법：수집2007년6월-2013년12월문급진GERD 환자오진위관심병26례，대림상오진자료실시회고성분석。결과：본조26례균유흉통증상，반방사통7례，반산、소심6례，해수2례。오진위심교통23례，급진심기경새3례。오진후，대환자실시위경검사，최종유효학진GERD。응용질자빙억제제이급위장동력약치료，환자적림상증상표현현저개선。결론：이흉통위주요림상표현적GERD용역피오진위관심병，응대환자실시위경검사등상관적실험실검사，유효여관심병등감별，방지오진오치。
Objective To explore the clinical misdiagnosis reason of gastroesophageal reflux disease (GERD) with coronary heart disease, in order to avoid the appearance of misdiagnosis and mistreatment phenomenon in clinic. Methods 26 GERD patients from both outpatient and emergency departments who were misdiagnosed with coronary heart disease were selected from July 2007 to December 2013, the clinical misdiagnosis data of these cases were analyzed retrospectively. Results All 26 patients had chest pain, 7 cases with radiating pain, 6 with reflux and heartburn, 2 with cough. 23 cases were misdiagnosed as angina pectoris, and the other 3 as acute myocardial infarction. After misdiagnosis, patients were examined with gastroenoscopy and were finally effectively diagnosed with GERD disease. Taking proton pump inhibitors and prokinetic drugs as treatment, the clinical symptoms were significantly improved. Conclusions For GERD patients whose main clinical manifestation are chest pain can easily be misdiagnosed as coronary heart disease, gastroscopy and other related laboratory examinations should be implemented so as to distinguish from coronary heart disease and prevent misdiagnosis or mistherapy.