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自我诊断:(1)胃部烧灼感,又称烧心,是反流性食管炎的典型症状,患者常感胸骨后有烧灼样不适感,常在餐后1小时出现,尤其在饱餐后反胃而发生,躯体前屈、卧位或用力屏气时加重。烧心是由于胃内的酸性物质反流到食管内,刺激食管壁的感觉神经末梢所引起。(2)反流性食管炎的另一个重要症状是胸痛,特别当反流物刺激食管引起食管痉挛性收缩时容易出现,这在食管炎症引起糜烂性食管炎时较为多见。反流性食管炎引起的胸痛,有时酷似心绞痛,需要进行鉴别。心绞痛的发生与进食吞咽动作一般无关,而心电图常可出现缺血性 ST-T 改变而资证实。
Self-diagnosis: (1) stomach burning sensation, also known as heartburn, is a typical symptom of reflux esophagitis, the patient often feel burning after chest like discomfort, usually 1 hour after a meal appears, especially after a meal nausea and Occurred, body flexion, lying or forced breathless increase. Heartburn is due to reflux of acid in the stomach to the esophagus, to stimulate the sensory nerve endings of the esophageal wall. (2) reflux esophagitis is another important symptom of chest pain, especially when reflux esophageal irritation esophageal spasmodic contraction prone, which is more common in esophageal inflammation caused by erosive esophagitis. Reflux esophagitis caused by chest pain, sometimes exactly like angina, need to be identified. The occurrence of angina pectoris and eating and swallowing generally have nothing to do, and ECG can often appear ischemic ST-T changes and funding confirmed.