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[儿童胃食管反流与呼吸系统疾病;病因发病机制、诊断与治疗]

[Gastroesophageal reflux and diseases of the respiratory system in children; etiopathogenesis, diagnosis and treatment].

作者信息

Kaliciński P, Bokszczanin L, Rasiński A, Majchrzyk-Ossowska T, Migdal M

出版信息

Pediatr Pol. 1989 Oct-Dec;64(10-12):624-30.

PMID:2641971
Abstract

16 children with various pulmonary symptoms were presented. Gastrooesophageal reflux was diagnosed as a cause of that. The causal correlation between gastrooesophageal reflux and respiratory symptoms was established on the ground of 24-hour monitoring of oesophageal pH, radioisotopic examination of the stomach and oesophagus, evaluation of the bronchial reactivity to the acidification of the oesophagus and of the allergic tests. Eventually surgical treatment was performed in all children which resulted in the complete remission of the symptoms or marked subjective improvement. It has been shown that gastrooesophageal reflux is an important cause of acute or chronic lung disease. The close collaboration should be established between pediatricians and pediatric surgeons in the treatment of gastrooesophageal reflux.

摘要

报告了16例有各种肺部症状的儿童。经诊断,胃食管反流是这些症状的病因。基于24小时食管pH监测、胃和食管放射性同位素检查、食管酸化时支气管反应性评估以及过敏试验,确定了胃食管反流与呼吸道症状之间的因果关系。最终,所有儿童均接受了手术治疗,症状完全缓解或主观上有明显改善。结果表明,胃食管反流是急慢性肺部疾病的重要病因。在胃食管反流的治疗中,儿科医生和小儿外科医生应密切合作。

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