Centro de Saúde da Lousã, Lousã, Portugal.
Clin Drug Investig. 2009;29 Suppl 2:19-22. doi: 10.2165/1152102-S0-000000000-00000.
Gastro-oesophageal reflux is the third most frequent cause of chronic cough. The diagnosis is not easy, especially when gastro-oesophageal reflux disease (GORD) has extra-oesophageal manifestations. The treatment is based on behavioural, pharmacological or surgical measures. The patient, aged 20 years, was a chronic smoker and since 2004 had a chronic cough. Therefore she had repeatedly been treated by several physicians with different antibiotics for respiratory infections. The family doctor in 2008 decided to investigate this cough. After investigation of the cardiorespiratory tract revealed no changes, the family doctor investigated the upper digestive tract. An endoscopy diagnosed gastro-oesophageal reflux. The patient was treated with pantoprazole 40 mg, with symptomatic relief. One important issue is that the patient went to see her family doctor instead of resorting to complementary consultations. It is also necessary to emphasize the need to think of the extra-oesophageal manifestations of GORD.
胃食管反流是慢性咳嗽的第三大常见原因。诊断并不容易，尤其是当胃食管反流病（GORD）有食管外表现时。治疗基于行为、药物或手术措施。患者为 20 岁女性，慢性吸烟者，自 2004 年以来一直患有慢性咳嗽。因此，她曾多次因呼吸道感染而被几位医生用不同的抗生素治疗。2008 年，家庭医生决定调查该咳嗽。在调查心肺呼吸道无变化后，家庭医生调查了上消化道。内窥镜诊断为胃食管反流。患者用泮托拉唑 40mg 治疗，症状缓解。一个重要的问题是，患者去看家庭医生而不是寻求补充咨询。还需要强调的是，需要考虑 GORD 的食管外表现。
