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胃食管反流病基层诊疗指南(2019年)

2019-07-25 中华医学会 中华全科医师杂志.2019,18(7):635-641.

胃食管反流病(gastroesophageal reflux disease,GERD)是指胃十二指肠内容物反流入食管引起反酸、烧心等症状。反流也可引起口腔、咽喉、气道等食管邻近的组织损害,出现食管外表现,如哮喘、慢性咳嗽、特发性肺纤维化、声嘶、咽喉炎和牙蚀症等。 本文通过阐述胃食管反流病的诊断流程、病情评估及转诊、疾病管理等方面,旨在让基层医务人员更好地理解及应用《胃食管反流病基层诊疗指南(20

中文标题:

胃食管反流病基层诊疗指南(2019年)

发布机构:

中华医学会

发布日期:

2019-07-25

简要介绍:

胃食管反流病(gastroesophageal reflux disease,GERD)是指胃十二指肠内容物反流入食管引起反酸、烧心等症状。反流也可引起口腔、咽喉、气道等食管邻近的组织损害,出现食管外表现,如哮喘、慢性咳嗽、特发性肺纤维化、声嘶、咽喉炎和牙蚀症等。 本文通过阐述胃食管反流病的诊断流程、病情评估及转诊、疾病管理等方面,旨在让基层医务人员更好地理解及应用《胃食管反流病基层诊疗指南(2019年)》,有效提高对胃食管反流病的识别、诊疗及管理水平,改善患者生命质量。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1191370, encodeId=52d111913e01c, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d226495138, createdName=ms4000000578805414, createdTime=Wed Feb 09 10:42:30 CST 2022, time=2022-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=964311, encodeId=5125964311ab, content=学到了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=226c4799349, createdName=654568956, createdTime=Mon May 10 17:19:15 CST 2021, time=2021-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=961271, encodeId=f1bf9612e106, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201021/4cd86cce9ed54e988509d6d08e1df2f9/a10b9f2e66314ade887a789b03545465.jpg, createdBy=0dbb2416959, createdName=圆quanquan, createdTime=Wed Apr 28 17:52:50 CST 2021, time=2021-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955676, encodeId=85669556e6ee, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64c75471003, createdName=ms7000001161786617, createdTime=Sat Apr 10 12:44:53 CST 2021, time=2021-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953087, encodeId=480c95308edd, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ed65272472, createdName=14826aa5m92暂无昵称, createdTime=Thu Apr 01 16:02:18 CST 2021, time=2021-04-01, status=1, ipAttribution=)]
    2022-02-09 ms4000000578805414

    学习一下

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1191370, encodeId=52d111913e01c, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d226495138, createdName=ms4000000578805414, createdTime=Wed Feb 09 10:42:30 CST 2022, time=2022-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=964311, encodeId=5125964311ab, content=学到了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=226c4799349, createdName=654568956, createdTime=Mon May 10 17:19:15 CST 2021, time=2021-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=961271, encodeId=f1bf9612e106, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201021/4cd86cce9ed54e988509d6d08e1df2f9/a10b9f2e66314ade887a789b03545465.jpg, createdBy=0dbb2416959, createdName=圆quanquan, createdTime=Wed Apr 28 17:52:50 CST 2021, time=2021-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955676, encodeId=85669556e6ee, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64c75471003, createdName=ms7000001161786617, createdTime=Sat Apr 10 12:44:53 CST 2021, time=2021-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953087, encodeId=480c95308edd, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ed65272472, createdName=14826aa5m92暂无昵称, createdTime=Thu Apr 01 16:02:18 CST 2021, time=2021-04-01, status=1, ipAttribution=)]
    2021-05-10 654568956

    学到了

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1191370, encodeId=52d111913e01c, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d226495138, createdName=ms4000000578805414, createdTime=Wed Feb 09 10:42:30 CST 2022, time=2022-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=964311, encodeId=5125964311ab, content=学到了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=226c4799349, createdName=654568956, createdTime=Mon May 10 17:19:15 CST 2021, time=2021-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=961271, encodeId=f1bf9612e106, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201021/4cd86cce9ed54e988509d6d08e1df2f9/a10b9f2e66314ade887a789b03545465.jpg, createdBy=0dbb2416959, createdName=圆quanquan, createdTime=Wed Apr 28 17:52:50 CST 2021, time=2021-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955676, encodeId=85669556e6ee, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64c75471003, createdName=ms7000001161786617, createdTime=Sat Apr 10 12:44:53 CST 2021, time=2021-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953087, encodeId=480c95308edd, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ed65272472, createdName=14826aa5m92暂无昵称, createdTime=Thu Apr 01 16:02:18 CST 2021, time=2021-04-01, status=1, ipAttribution=)]
    2021-04-28 圆quanquan

    学习学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1191370, encodeId=52d111913e01c, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=128, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=9d226495138, createdName=ms4000000578805414, createdTime=Wed Feb 09 10:42:30 CST 2022, time=2022-02-09, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=964311, encodeId=5125964311ab, content=学到了, beContent=null, objectType=guider, channel=null, level=null, likeNumber=120, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=226c4799349, createdName=654568956, createdTime=Mon May 10 17:19:15 CST 2021, time=2021-05-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=961271, encodeId=f1bf9612e106, content=学习学习, beContent=null, objectType=guider, channel=null, level=null, likeNumber=133, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20201021/4cd86cce9ed54e988509d6d08e1df2f9/a10b9f2e66314ade887a789b03545465.jpg, createdBy=0dbb2416959, createdName=圆quanquan, createdTime=Wed Apr 28 17:52:50 CST 2021, time=2021-04-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=955676, encodeId=85669556e6ee, content=学习一下, beContent=null, objectType=guider, channel=null, level=null, likeNumber=134, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64c75471003, createdName=ms7000001161786617, createdTime=Sat Apr 10 12:44:53 CST 2021, time=2021-04-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=953087, encodeId=480c95308edd, content=很好, beContent=null, objectType=guider, channel=null, level=null, likeNumber=138, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1ed65272472, createdName=14826aa5m92暂无昵称, createdTime=Thu Apr 01 16:02:18 CST 2021, time=2021-04-01, status=1, ipAttribution=)]
    2021-04-10 ms7000001161786617

    学习一下

    0

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    2021-04-01 14826aa5m92暂无昵称

    很好

    0

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