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有反复发作的胸骨下疼痛的病人首先应进行心脏方面的检查,如果无阳性发现,(尤其是冠状动脉造影正常时),应考虑是否有胃食管方面的问题,这些病人所感受的疼痛称为非心源性胸痛。我们对200例非心源性胸痛患者进行原因分析,旨在探讨胃食管返流与非心源性胸痛的关系。 1 临床资料 1.1 一般资料:全组200例,均排除了心脏方面的异常,均主诉胸骨下疼痛。男性120例,女性80例,年龄在20~60岁之间。 1.2 胸痛原因:返流性食管炎157例(78.5%),胆管痉挛、胆囊炎8例(4%),胃自动活动
Patients with recurrent subchondral pain should first undergo heart examination and, if no positive findings (especially when coronary angiography is normal) should be considered for gastro-oesophageal problems, the pain experienced by these patients is referred to as Non-cardiac chest pain. We analyzed the causes of 200 patients with non-cardiac chest pain, to explore the relationship between gastroesophageal reflux and non-cardiac chest pain. 1 Clinical data 1.1 General Information: The whole group of 200 patients, were excluded cardiac abnormalities, were complained of sternal pain. 120 males and 80 females, aged 20 to 60 years old. 1.2 causes of chest pain: 157 cases of reflux esophagitis (78.5%), bile duct cramps, cholecystitis in 8 cases (4%), gastric automatic activity