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喉咽反流:文献综述

Laryngopharyngeal reflux: A literature review.

作者信息

Khan A M, Hashmi S R, Elahi F, Tariq M, Ingrams D R

机构信息

Department of ENT Royal Gwent Hospital, Newport, South Wales.

出版信息

Surgeon. 2006 Aug;4(4):221-5. doi: 10.1016/s1479-666x(06)80063-6.

Abstract

Laryngopharyngeal reflux (LPR) is a common condition encountered in otolaryngological practice in the United Kingdom. It is one of the most important aetiological factors for many inflammatory disorders of the upper aerodigestive tract. The presentations are diverse and include chronic hoarseness, sensation of a foreign body in the throat, sore throat, dysphagia, postnasal drip, excessive throat mucous, chronic cough and throat clearing. LPR patients may not complain of heartburn. Although LPR is common, its diagnosis may not be easy, as its symptoms are non specific and the laryngeal findings are not always associated with symptom severity. This article discusses an overall view of LPR in terms of pathophysiology, clinical presentation, diagnosis and treatment

摘要

喉咽反流(LPR)是英国耳鼻喉科临床中常见的病症。它是上呼吸道和消化道许多炎症性疾病最重要的病因之一。其表现多样,包括慢性声音嘶哑、咽喉部异物感、咽痛、吞咽困难、鼻后滴漏、咽喉部黏液过多、慢性咳嗽和清嗓。LPR患者可能没有烧心症状。尽管LPR很常见,但其诊断可能并不容易,因为其症状不具有特异性,而且喉部表现并不总是与症状严重程度相关。本文从病理生理学、临床表现、诊断和治疗方面对LPR进行了全面阐述。

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