以呕吐、进食梗阻感为主诉的系统性硬化病误诊分析及文献复习
摘要
<正>1病历摘要患者女,60岁,农民。因反复呕吐10余年,加重伴进食梗阻2个月于2011年3月29日入我院。10余年来反复出现呕吐,于进食10余分钟后出现,非喷射性,量少,有发酵气味,与所进食物种类无明显关系,伴反酸,平卧后出现,症状呈间歇性,无进行性加重,约每月发作1次;近5年症状加重,每日发作1次,夜间平卧多见,坐立位好转,无腹痛,无烧心及胸骨后疼痛,曾多次就诊当地医院,拟"胃病"给予胃药(具体不详)治疗,症状无明显改善;入院前2个月出
引文
[1]叶玉津,尹培达.系统性硬化病[J].新医学,2007,38(2):137-139.
[2]Chojnowski M,Kobylecka M,Olesińska M.Esophageal transit scintigraphy in systemic sclerosis[J].Reumatologia,2016,54(5):251-255.
[3]Sallam H,Mcnearney TA,Chen JDZ.Systematic review:pathophysiology and management of gastrointestinal dysmotility in systemic sclerosis(scleroderma)[J].Aliment Pharmacol Ther,2006,23(6):691-712.
[4]史燕妹.食管高分辨率测压在系统性硬化症中的应用[D].昆明医科大学,2014.
[5]张秀静,向雪莲,涂蕾,等.系统性硬化症患者高分辨率测压下食管动力特点[J].临床内科杂志,2012,29(11):776-778.
[6]陈旻湖,侯晓华,肖英莲,等.2014年中国胃食管反流病专家共识意见[J].胃肠病学,2015,20(3):155-168.
[7]Codullo V,Cereda F,Crepaldi G,et al.Disease-related malnutrition in systemic sclerosis:evidences and implications[J].Clin Exp Rheumatol,2015,33(4Suppl 91):S190-S194.
[8]胡志伟,吴继敏,汪忠镐,等.硬皮病所致严重胃食管反流病的个体化治疗:病例及文献分析[J].中国普外基础与临床杂志,2016,23(10):1214-1219.
[9]Poirier TJ,Ranklin GB.Gastrointestinal manifestation of progressive systemic sclerodema based on a review of 364cases[J].Am J Gastroenterol,1972,58(1):30-44.
[10]Forbes A,Marie I.Gastrointestinal complications:the most frequent internal complications of systemic sclerosis[J].Rheumatology(Oxford),2009,48(Suppl 3):36-39.
[11]Liu X,Li M,Xu D,et al.Prevalence and clinical imponance of gas-troesophageal reflux in Chinese patients with systemic sclerosis[J].Clin Exp Rheumatol,2012,30(2Suppl 71):S60-S66.
[12]Pulkowski G,Budzyński J,Kopocka M,et al.Digestive tract in patients with systemic sclerosis[J].Reumatologia,2006,44(2):95-101.
[13]中华医学会风湿病学分会.系统性硬化病诊断及治疗指南[J].中华风湿病学杂志,2011,15(4):256-259.
[14]丁晓春,汤海涛,潘宏年.吞咽困难为主要临床表现的系统性硬化病1例[J].安徽医药,2010,14(6):705.
[15]阎登富,王彪.系统性硬化病误诊1例[J].临床荟萃,2009,24(4):344.
[2]Chojnowski M,Kobylecka M,Olesińska M.Esophageal transit scintigraphy in systemic sclerosis[J].Reumatologia,2016,54(5):251-255.
[3]Sallam H,Mcnearney TA,Chen JDZ.Systematic review:pathophysiology and management of gastrointestinal dysmotility in systemic sclerosis(scleroderma)[J].Aliment Pharmacol Ther,2006,23(6):691-712.
[4]史燕妹.食管高分辨率测压在系统性硬化症中的应用[D].昆明医科大学,2014.
[5]张秀静,向雪莲,涂蕾,等.系统性硬化症患者高分辨率测压下食管动力特点[J].临床内科杂志,2012,29(11):776-778.
[6]陈旻湖,侯晓华,肖英莲,等.2014年中国胃食管反流病专家共识意见[J].胃肠病学,2015,20(3):155-168.
[7]Codullo V,Cereda F,Crepaldi G,et al.Disease-related malnutrition in systemic sclerosis:evidences and implications[J].Clin Exp Rheumatol,2015,33(4Suppl 91):S190-S194.
[8]胡志伟,吴继敏,汪忠镐,等.硬皮病所致严重胃食管反流病的个体化治疗:病例及文献分析[J].中国普外基础与临床杂志,2016,23(10):1214-1219.
[9]Poirier TJ,Ranklin GB.Gastrointestinal manifestation of progressive systemic sclerodema based on a review of 364cases[J].Am J Gastroenterol,1972,58(1):30-44.
[10]Forbes A,Marie I.Gastrointestinal complications:the most frequent internal complications of systemic sclerosis[J].Rheumatology(Oxford),2009,48(Suppl 3):36-39.
[11]Liu X,Li M,Xu D,et al.Prevalence and clinical imponance of gas-troesophageal reflux in Chinese patients with systemic sclerosis[J].Clin Exp Rheumatol,2012,30(2Suppl 71):S60-S66.
[12]Pulkowski G,Budzyński J,Kopocka M,et al.Digestive tract in patients with systemic sclerosis[J].Reumatologia,2006,44(2):95-101.
[13]中华医学会风湿病学分会.系统性硬化病诊断及治疗指南[J].中华风湿病学杂志,2011,15(4):256-259.
[14]丁晓春,汤海涛,潘宏年.吞咽困难为主要临床表现的系统性硬化病1例[J].安徽医药,2010,14(6):705.
[15]阎登富,王彪.系统性硬化病误诊1例[J].临床荟萃,2009,24(4):344.