Orenstein S R, Kocoshis S A, Orenstein D M, Proujansky R
Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
Pediatr Pulmonol. 1987 Nov-Dec;3(6):420-4. doi: 10.1002/ppul.1950030608.
Five pediatric patients with stridor were evaluated to determine whether gastroesophageal reflux (GER) contributed to their stridor. Intraluminal esophageal acid perfusion (Bernstein test), pH probe, radiographic studies, laryngobronchoscopy, and esophageal histology were utilized. Thereafter, three of the five patients responded to therapy for GER; two did not. The Bernstein test proved to have greater diagnostic reliability than any other test employed, using response to antireflux therapy as the "gold standard" for diagnosing reflux-provoked stridor.
对五名患有喘鸣的儿科患者进行了评估，以确定胃食管反流（GER）是否导致了他们的喘鸣。采用了腔内食管酸灌注（伯恩斯坦试验）、pH探头、影像学研究、喉支气管镜检查和食管组织学检查。此后，五名患者中有三名对GER治疗有反应；两名没有。以对抗反流治疗的反应作为诊断反流性喘鸣的“金标准”，结果证明伯恩斯坦试验比所采用的任何其他检查都具有更高的诊断可靠性。
