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1 临床资料例1,女,70岁,农民。以吞咽困难1.1年,加重1年入院。11年前出现吞咽困难,呈间歇性发作,轻度胸骨后灼烧感。1年前吞咽困难加重,体重减轻。上消化道钡透示“弥漫性食管痉挛”、“食管下段炎”,心痛定治疗后病情缓解。例2,男,60岁,干部。胸痛4年,问肩背部放射,伴胸闷。心电图示:心肌呈缺血性改变。X线钡透诊为“弥漫性食管痉挛”。心痛定治疗后缓解。 2 讨论
1 clinical data example 1, female, 70 years old, farmer. To swallowing difficulties 1.1 years, increased 1 year admission. 11 years ago, dysphagia, intermittent seizures, slight sore after burning sensation. 1 year ago, dysphagia worsened and lost weight. Upper gastrointestinal barium revealed “diffuse esophageal spasm”, “lower esophageal inflammation,” pain after treatment, remission. Example 2, male, 60 years old, cadres. Chest pain for 4 years, ask shoulder back radiation, with chest tightness. ECG shows: myocardial ischemic changes. X-ray examination of barium as “diffuse esophageal spasm.” Heartache after treatment will be relieved. 2 discussions