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[轴性食管裂孔疝患者上肾-心综合征的诊断与治疗]

[The diagnosis and treatment of the epiphrenal-cardial syndrome in patients with axial hiatal hernias].

作者信息

Chernov V N, Khitar'ian A G, Aboian I A

出版信息

Vestn Khir Im I I Grek. 1998;157(4):89-92.

PMID:9825449
Abstract

An examination of 63 patients with hiatal hernias was performed in order to detect the epiphrenic-coronary reflex. Changes in the ECG in performing the Börnstein test were analyzed. The pathological epiphrenic-coronary reflex was found in 80.4% of patients with retrosternal pains or ischemic heart disease. This reflex was proved to disappear after surgical treatment of the hiatal hernia in 93.1% of the patients.

摘要

为检测膈上-冠状动脉反射,对63例食管裂孔疝患者进行了检查。分析了在进行伯恩斯坦试验时心电图的变化。在80.4%有胸骨后疼痛或缺血性心脏病的患者中发现了病理性膈上-冠状动脉反射。经证实,93.1%的患者在食管裂孔疝手术治疗后该反射消失。

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