Swift G L, Alban-Davies H, McKirdy H, Lowndes R, Lewis D, Rhodes J
Department of Gastroenterology, University Hospital of Wales, Cardiff.
Q J Med. 1991 Nov;81(295):937-44.
Oesophageal and cardiac chest pain are often difficult to distinguish on clinical grounds. The clinical course of 32 patients with recurrent chest pain due to oesophageal dysmotility has recently been assessed by questionnaire 9 years after diagnosis. Twenty-six of the 27 who replied continued to have pain, but despite this there was a significant reduction in the number of hospital admissions associated with chest pain. Repeat oesophageal manometry in nine showed that the disturbance in motility persisted. Three had died, one of them from a myocardial infarction; two patients could not be traced.
食管源性和心源性胸痛通常很难基于临床依据进行区分。最近通过问卷调查评估了32例因食管动力障碍导致复发性胸痛患者在诊断9年后的临床病程。在回复的27例患者中，有26例仍有疼痛，但尽管如此，与胸痛相关的住院次数仍显著减少。对9例患者进行的重复食管测压显示，动力障碍持续存在。有3例患者死亡，其中1例死于心肌梗死；2例患者无法追踪到。
