Patients with high altitude late pregnancy reflux esophagitis 193.doc

 PAGE \* MERGEFORMAT 4 Patients with high altitude late pregnancy reflux esophagitis 193 [Keywords:] plateau in late pregnancy esophagitis Plateau because of its special geographical environment, third trimester of pregnancy complicated by reflux esophagitis incidence was significantly higher than the plains. Our hospital in March 2005 ~ February 2008 on 658 hospitalized patients in late pregnancy research and found that 193 concurrent reflux esophagitis (RE, 29.3%. are as follows. 1 Clinical data 1.1 General information on late pregnancy complicated by RE 193 patients, 176 cases of primipara (91.2%, and more maternal in 17 cases (8.8%, aged 19 to 38 years, mean 25.8 years, 31 to 39 weeks of pregnancy, an average of 35.2 weeks. 1.2 The patients were 193 cases of clinical symptoms in late pregnancy, while there RE symptoms: heartburn, 138 patients (71.5%, belching 85 cases (44.0%, anti-acid, 87 patients (45.1%, dysphagia in 76 cases (39.4%, chest pain 46 patients (23.8% and so on. 1.3 The diagnostic criteria for patients were 193 cases of late pregnancy, there RE symptoms, 37 patients intolerant of gastroscopy in patients Perspective by barium (lead clothing to protect the fetus observed esophageal damage, and other signs of barium reflux diagnosis, and the remaining 156 cases After endoscopy, 24 h pH monitoring, esophageal manometry diagnosis. 2 Discussion Pregnancy, because fetal growth, intra-abdominal pressure also will be increased, resulting in lower esophageal sphincter (LES function, and tension decreased, so that the stomach contents back into the esophagus, long-term diversion, the friction of food, food and some juice in the mix , digestive enzymes to stimulate the mucosal injury, inflammation of the esophagus. highlands in late pregnancy were due to hypoxia, intestinal activity is inhibited, decreased tension, decreased gastric motility [1], delayed gastric emptying, gastric contents increases, can cause gastroesophageal reflu