不同原因胸痛的基本临床特点分析  

ANALYSIS OF THE BASIC CLINICAL CHARACTERS OF VARIOUS CHEST PAIN

作　　者：张淼[1] 陈珂[1] 杨清泉[1] 

机构地区：[1]河南省南阳市中心医院,南阳473009

出　　处：《现代预防医学》2011年第14期2878-2880,共3页Modern Preventive Medicine

摘　　要：[目的]研究不同原因胸痛的临床特点,对快速正确诊断胸痛的原因提供临床思路。[方法]选取我院2008年1月～2009年12月就诊的胸痛患者856例作为观察对象。将胸痛的原因分为:冠心病、心包炎、肺栓塞、主动脉夹层、肺源性、胃肠源性、骨骼肌肉源性、带状疱疹。对比分析不同原因胸痛的基本特点。[结果]肺源性胸痛(29.0%)的发生率最高,其后依次为,冠心病(23.0%),胃肠源性(13.1%),骨骼肌肉源性(10.9%),肺栓塞(10.2%),心包炎(5.1%),主动脉夹层(5.0%),带状疱疹(3.7%)所致胸痛。冠心病(P=0.069)、主动脉夹层(P=0.073)患者中男性患者比例明显高于其他组,带状疱疹患者中女性比例明显高于其他组患者(P=0.075)。各种胸痛产生的诱因均有不同的特点。不同原因的胸痛,其性质及常见辅助检查结果也各有不同的特点。[结论]多种疾病均可以导致胸痛的发生,不同原因的胸痛,其性质及常见辅助检查结果也各有不同的特点。[Objective] To explore the basic clinical characters of various chest pain.[Methods]856 patients were observed.According to the etiology of chest pain,the patients were divided into coronary heart disease group,pericarditis group,pulmonary thromboembolism group,dissection of aorta group,lung-derived group,gastrointestinal-derived group,muscle-derived group and herpes zoster group.The we compared the basic clinical characters of various chest pain in different groups.[Results]The incidence of lung-derived chest pain was 29.0%,coronary heart disease was 23.0%,gastrointestinal-derived was 13.1%,muscle-derived was 10.9%,pulmonary thromboembolism was 10.2%,pericarditis was 5.1%,dissection of aorta was 5.0%,and herpes zoster was 3.7%.The different chest pain had the different inducement,properties and basic auxiliary examination.[Conclusion]Many diseases can induce the chest pain.The different chest pain had the different inducement,properties and basic auxiliary examination.

关 键 词：胸痛 临床特点 病因 

分 类 号：R44[医药卫生—诊断学]