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[食管裂孔疝的呼吸和排尿障碍]

[Respiratory and dysuric disorders in hiatal hernia].

作者信息

Gubergrits A Ia, Gredzhev A F, Kolkin Ia G, Pershin E S

出版信息

Ter Arkh. 1988;60(10):31-3.

PMID:3222745
Abstract

In the period of 1973-1987 the authors followed-up 1053 patients with hiatal hernia with different types of a clinical course. Various respiratory symptoms (cough, attacks of asphyxia, etc.) were observed in 181 patients, dysuric symptoms (dysuria, urethral colics, etc.) were observed in 66 patients. Of this number 347 were operated upon. A positive effect was achieved in 36 of 41 operated patients with bronchopulmonary disorders and in 16 of 23 patients with dysuric disorders. Organic respiratory and urinary changes were undetectable before operation. The authors considered a possibility of the development of the vagosolar syndrome lying in the basis of the pathogenesis of the above disorders.

摘要

在1973年至1987年期间,作者对1053例具有不同临床病程类型的食管裂孔疝患者进行了随访。181例患者出现了各种呼吸道症状(咳嗽、窒息发作等),66例患者出现了排尿困难症状(排尿困难、尿道绞痛等)。其中347例接受了手术。41例患有支气管肺部疾病的手术患者中有36例取得了积极效果,23例患有排尿困难疾病的患者中有16例取得了积极效果。术前未检测到器质性呼吸和泌尿系统变化。作者认为,上述疾病发病机制的基础可能是迷走神经-太阳神经丛综合征的发展。

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