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目的探讨胃食管反流病误诊的原因及减少误诊的方法。方法分析32例误诊为心绞痛、慢性咽喉炎、慢性支气管炎、支气管哮喘等疾病的胃食管反流病患者的临床资料,探讨误诊原因。结果采用奥美拉唑和莫沙必利治疗,所有病例症状均明显缓解。结论胃食管反流病非典型临床表现有隐匿、多样化的特点,临床医生加强对胃食管反流病的临床和基础知识的认识,是避免和减少误诊的关键。
Objective To investigate the causes of misdiagnosis of gastroesophageal reflux disease and ways to reduce misdiagnosis. Methods Clinical data of 32 cases of gastroesophageal reflux disease misdiagnosed as angina pectoris, chronic pharyngitis, chronic bronchitis and bronchial asthma were analyzed to investigate the causes of misdiagnosis. Results Omeprazole and mosapride treatment, all cases were significantly relieved symptoms. Conclusions The atypical clinical manifestations of gastroesophageal reflux disease are occult and diversified. Clinicians’ understanding of the clinical and basic knowledge of gastroesophageal reflux disease is the key to avoiding and reducing misdiagnosis.