(精编)【医学教学课件】胃食管反流病GERD.pptVIP

Gastroesophageal Reflux Disease 胃食管反流病 Definition GERD is defined as symptoms or mucosal damage produced by abnormal reflux of stomach contents into the esophagus. 胃食管反流病是指由于胃内容物异常反流入食管导致的症状或食管粘膜损伤。 /upload/2005/06/06pdf Lower Esophageal Sphincter Manifestations －Classical Symptom Heart burn Manifestations －Classical Symptom Regurgitation Manifestations －Extraesophageal Symptom Chest Pain RS Asthma and Other Pulmonary Diseases ENT Laryngitis Manifestations －Extraesophageal Symptom Reflux esophagitis Non erosive reflux disease Questionnaire S+ S+ S- S- I+ I+ 饮食：高蛋白低脂；少食多餐；避免烟酒、咖啡、浓茶等 生活习惯：衣着宽松；保持大便通畅 General Therapy * * GER-related chest pain may mimic angina pectoris, having a squeezing or burning quality; being in a substernal location; and radiating to the back, neck, jaws, or arm. It frequently is worse after meals, can awaken the patient from sleep, and may worsen during emotional stress. Heavy exercise, even treadmill testing, may provoke GER.[97] Reflux-related chest pain may last for minutes to hours, often resolves spontaneously, and may be eased with antacids. The majority of patients with GERD-induced chest pain have heartburn symptoms