反流性食管炎误诊为冠心病6例分析

目的：探讨反流性食管炎误诊的原因和确诊方法，提高对反流性食管炎的认识。方法：报告误诊为冠心病的反流性食管炎6例，并对其临床特点、误诊原因、确诊方法进行探讨。结果：临床医生对反流性食管炎认识不足，诊断思路片面，缺乏进一步的检查和临床分析是误诊的主要原因；由于食管解剖位置与心脏相毗邻，以胸痛症状为主，胃食道反流症状不明显，且多伴随冠心病易感因素者，容易误诊。结论：应提高对反流性食管炎的认识，重视基础资料的收集，必要时进行24h食管pH值监测或冠脉造影来确诊。

Analysis of 6 Cases with Reflux Esophagitis Misdiagnosed as Coronary Heart Disease

Objective: To evaluate misdiagnostic reasons and diagnostic ways and to improve understanding of reflux esophagitis.Methods: Reasons and characteristics of the 6 cases with reflux esophagitis misdiagnosed as coronary atherosclerotic were analyzed and explored.Results: Physician's insufficient understanding and lack of further examination and analysis were the chief reasons of misdiagnosis.Because esophageal position was contiguous to heart and the main symptom was stethalgia,and the gastro-esophageal reflux symptom was not obvious,those who suffered from coronary heart diseases were easily misdiagnosed.Conclusion: Correlative knowledge should be increased and the basic data collected.24h esophagus PH monitor or coronary angiography should be performed.