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本文报告食管痉挛长期误诊为冠状动脉痉挛1例。病人男性,62岁,自1971年以来,胸骨后剧烈压榨样疼痛,反复发作,有时多达每周4次。复发时均无明显诱因,舌下含化硝酸异山梨醇可缓解。偶尔饭后胸骨后有烧灼感。最初疑为冠状动脉痉挛,多次急诊住院冶疗,但每次心电图检查均无异常改变,前后数次心血管造影检查显示冠状动脉及左心室正常。食管测压表明食管收缩异常。之后给
This article reports long-term misdiagnosis of esophageal spasm as coronary spasm in 1 case. The patient, male, 62 years old, had severe squinting pain after the sternum since 1971, recurrent episodes, sometimes up to 4 times a week. No significant incentive to relapse, sublingual nitration of isosorbide can be alleviated. Occasionally post-breast sore burning sensation. Initially suspected of coronary artery spasm, multiple emergency hospitalizations, but no abnormal ECG changes, before and after several coronary angiography showed normal coronary arteries and left ventricle. Esophageal manometry showed abnormal esophageal contraction. After giving