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[与远端食管主动脉-心脏压迫相关的吞咽困难:一种罕见但在老年人中并不罕见的情况]

[Dysphagia associated with aorto-cardiac compression on the distal esophagus: a rare event but not exceptional in the elderly].

作者信息

Tosato F, Passaro U, Vasapollo L, Riccardelli F, Paolini A

机构信息

Istituto di IV Clinica Chirurgica, Università degli Studi di Roma La Sapienza, Roma.

出版信息

Minerva Chir. 1995 Sep;50(9):773-7.

PMID:8587712
Abstract

Among the pathologies responsible for dysphagia in the elderly, the aortic compression on the distal oesophagus awakens a certain clinical interest. Cipho-lordosis, which is often present in aged females, worsens the effects of this compression causing other kinkings on the oesophagus already hypokinetic because of the age (presbyoesophagus). This illness often shows scare symptoms, but sometimes requires a pneumatic dilation to allow normal food assumption of the patient. The authors report on their experience of two cases, clearly documented from the diagnostic point of view; the first one was given medical treatment, the second one was treated with a pneumatic dilatation of the cardias.

摘要

在导致老年人吞咽困难的病因中,主动脉对食管远端的压迫引发了一定的临床关注。颈椎前凸在老年女性中较为常见,它会加重这种压迫的影响,导致食管出现其他扭结,而由于年龄因素(老年食管),食管本身蠕动就已减弱。这种疾病通常症状不明显,但有时需要进行气囊扩张以使患者能够正常进食。作者报告了他们对两例病例的经验,从诊断角度有明确记录;第一例进行了药物治疗,第二例进行了贲门气囊扩张治疗。

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