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近年,胃食管反流对某些难以理解的症状和疾病的作用,已越来越引起注意。耳鼻咽喉科-头颈外科所涉及的范围包括喉(特别是其后部)、吞咽和癔球,以及某些肺部情况。最近研究指出,顽固性咳嗽、气哽发作(choking spells)、“拽液”、清嗓、不明原因的嘶哑等喉部症状常可由酸性胃内容物反流所引起。有上述症状的患者,检查时可发现杓区有红斑,杓间粘膜增厚、堆起,以及声带后1/3处有炎症。这种情况称“后部”喉炎或“酸性”喉炎。喉接触性溃疡产生的主要原因传统地认为是滥用嗓音。自1968年以来,一些作者根据动物实验和用抗酸疗法能治愈的事实,认为喉接触性溃疡很可能是由胃食管反流所引起的一种消化性溃疡。Delahunty在一个胃食管反流病人的喉后部取活检,发现有角化不全上皮的增生
In recent years, the role of gastroesophageal reflux in certain difficult to understand symptoms and diseases has drawn more and more attention. Otorhinolaryngology Head and neck surgery covers the throat (especially the posterior portion), swallowing and shuttlecock, and certain lung conditions. Recent studies have pointed out that intractable cough, choking spells, “drag fluid”, clear throat, unexplained hoarseness and other throat symptoms can often be caused by acid reflux stomach contents. Patients with the above symptoms, check the scoop area can be found erythema, inter-oral mucosal thickening, piling up, and 1/3 of the vocal cords have inflammation. This condition is called “posterior” laryngitis or “sore” laryngitis. The main cause of throat contact ulcers is traditionally thought to be the abuse of voice. Since 1968, some authors have suggested that laryngeal contact ulcers may be a peptic ulcer caused by gastroesophageal reflux, based on animal experiments and the fact that antacids can be cured. Delahunty took a biopsy in the posterior larynx of a gastroesophageal reflux patient and found hyperplasia of keratosis epithelium