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胃食管反流导致的肺误吸:一种诊断方法。

Pulmonary aspiration as a consequence of gastroesophageal reflux: a diagnostic approach.

作者信息

Chernow B, Johnson L F, Janowitz W R, Castell D O

出版信息

Dig Dis Sci. 1979 Nov;24(11):839-44. doi: 10.1007/BF01324899.

DOI:10.1007/BF01324899
PMID:520103
Abstract

A radioisotope scintiscanning technique that can document pulmonary aspiration of gastric contents in patients with gastroesophageal reflux is described. Six patients with suspected nocturnal aspiration from reflux were studied. Three of the six had positive lung scans 8 hr after intragastric placement of 10 mCi of technetium 99m sulfur colloid. Overnight intraesophageal pH monitoring revealed prolonged episodes of GE reflux in those with positive scans. These preliminary observations suggest that this scintigraphic technique may be an effective method for documenting pulmonary symptoms as a consequence of gastroesophageal reflux.

摘要

本文描述了一种放射性同位素闪烁扫描技术,该技术可记录胃食管反流患者胃内容物的肺吸入情况。对6例疑似夜间反流性误吸的患者进行了研究。6例患者中有3例在胃内注入10毫居里的锝99m硫胶体8小时后肺部扫描呈阳性。夜间食管pH监测显示,扫描阳性者存在长时间的胃食管反流发作。这些初步观察结果表明,这种闪烁扫描技术可能是记录胃食管反流所致肺部症状的有效方法。

相似文献

1
Pulmonary aspiration as a consequence of gastroesophageal reflux: a diagnostic approach.胃食管反流导致的肺误吸:一种诊断方法。
Dig Dis Sci. 1979 Nov;24(11):839-44. doi: 10.1007/BF01324899.
2
99mTc-sulfur colloid gastroesophageal scintigraphy with late lung imaging to evaluate patients with posterior laryngitis.采用99mTc-硫胶体进行胃食管闪烁扫描并延迟肺部显像以评估喉炎患者。
J Nucl Med. 2000 Oct;41(10):1597-602.
3
Assessment of a technique for scintigraphic monitoring of pulmonary aspiration of gastric contents in asthmatics with gastroesophageal reflux.评估一种用于对患有胃食管反流的哮喘患者胃内容物肺吸入进行闪烁扫描监测的技术。
Ann Allergy. 1979 May;42(5):306-8.
4
How useful is gastroesophageal reflux scintigraphy in suspected childhood aspiration?胃食管反流闪烁显像在疑似儿童误吸中作用有多大?
Pediatr Radiol. 1988;18(4):311-3. doi: 10.1007/BF02388999.
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[Recurrent aspiration pneumonia and Barrett's esophagus: a case report].[复发性误吸性肺炎与巴雷特食管:一例报告]
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[Esophageal and pulmonary scintigraphy in children with gastroesophageal reflux and bronchopulmonary disease].[胃食管反流与支气管肺疾病患儿的食管和肺部闪烁扫描术]
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[Gastroesophageal reflux and nocturnal broncho-aspiration in chronic bronchopathies].[慢性支气管疾病中的胃食管反流与夜间支气管误吸]
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Gastro-oesophageal reflux in near-miss sudden infant death syndrome or suspected recurrent aspiration.近窒息性婴儿猝死综合征或疑似反复误吸中的胃食管反流
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[Value and role of esophageal scintigraphy in the diagnosis of gastroesophageal reflux in infants and children].[食管闪烁扫描术在婴幼儿胃食管反流诊断中的价值及作用]
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Pulmonary aspiration studied by radionuclide milk scanning and barium swallow roentgenography.通过放射性核素牛奶扫描和吞钡X线造影术研究肺误吸。
Am J Dis Child. 1987 Aug;141(8):917-21. doi: 10.1001/archpedi.1987.04460080103039.

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本文引用的文献

1
A dynamic test of sphincter strength: its application to the lower esophageal sphincter.括约肌强度的动态测试:其在食管下括约肌中的应用。
Gastroenterology. 1967 May;52(5):779-86.
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Comparison of a salivary/sputum pepsin assay with 24-hour esophageal pH monitoring for detection of gastric reflux into the proximal esophagus, oropharynx, and lung.唾液/痰液胃蛋白酶检测与24小时食管pH监测用于检测胃内容物反流至食管近端、口咽和肺部的比较。
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Dual-channel ambulatory esophageal pH monitoring. A useful diagnostic tool?双通道动态食管pH监测。一种有用的诊断工具?
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Evaluation of elevation of the head of the bed, bethanechol, and antacid form tablets on gastroesophageal reflux.床头抬高、氨甲酰甲胆碱和抗酸剂片剂对胃食管反流的评估。
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Gastro-oesophageal reflux in near-miss sudden infant death syndrome or suspected recurrent aspiration.近窒息性婴儿猝死综合征或疑似反复误吸中的胃食管反流
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Inhibitory effect of smoking on the lower esophageal sphincter.吸烟对食管下括约肌的抑制作用。
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5
Gastroesophageal reflux and hiatal hernia. Complications and therapy.胃食管反流与食管裂孔疝。并发症与治疗。
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6
The distal esophageal sphincter and its relationship to gastroesophageal reflux.食管远端括约肌及其与胃食管反流的关系。
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7
Radioisotope detection of Meckel's diverticulum causing acute rectal hemorrhage.放射性同位素检测导致急性直肠出血的梅克尔憩室。
N Engl J Med. 1972 Sep 28;287(13):653-4. doi: 10.1056/NEJM197209282871311.
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Twenty-four-hour pH monitoring of the distal esophagus. A quantitative measure of gastroesophageal reflux.食管远端24小时pH监测。胃食管反流的定量检测方法。
Am J Gastroenterol. 1974 Oct;62(4):325-32.
9
Specificity of 99mTc-pertechnetate in scintigraphic diagnosis of Meckel's diverticulum: review of 100 cases.99m锝高锝酸盐在梅克尔憩室闪烁扫描诊断中的特异性:100例病例回顾
J Nucl Med. 1976 Jun;17(6):465-9.
10
Gastroesophageal (GE) scintiscanning to detect and quantitate GE reflux.胃食管(GE)闪烁扫描以检测和定量胃食管反流。
Gastroenterology. 1976 Mar;70(3):301-8.