胃十二指肠疾病致胸痛的临床思路构建  

CLINICAL DIAGNOSIS IDEAS OF CHEST PAIN CAUSED BY GASTRODUODENAL DISEASES

作　　者：祝华[1] 

机构地区：[1]四川省峨眉山市人民医院消化内科,614200

出　　处：《中国煤炭工业医学杂志》2015年第1期55-57,共3页Chinese Journal of Coal Industry Medicine

摘　　要：目的为构建胃病致胸痛、十二指肠疾病致胸痛的临床诊断鉴别的思路。方法回顾内窥镜检查64例十二指肠疾病致胸痛患者和243例消化源胸痛患者的诊断数据和资料,总结内窥镜检查胃十二指肠疾病致胸痛诊断的思路和优势。结果用内窥镜诊断的胸痛患者中,胃、十二指肠引发的患者胸痛有64例,占消化源胸痛患者的26.3%,用常规方法诊断出的胃、十二指肠引发胸痛的患者为14例,仅占消化源胸痛患者的5.8%。结论内窥镜对于胃、十二指肠引发的患者胸痛的诊断效果明显好于常规的胸痛诊断方法,可作为诊断胃、十二指肠引发者胸痛的诊断提供重要思路。Objective To construct clinical differential diagnosis ideas of chest pain caused by stomach pain and duodenal disease（S- DCP）. Methods The data and information of 64 cases endoscopy S- DCP pa- tients and 243 cases of patients with the diagnosis of CP digested source were obtained, and then summa- rized the diagnosis advantages of chest pain caused by gastroduodenal endoscopy. Results Endoscopic di- agnosis in patients with chest pain, stomach, duodenum caused chest pain in patients 64 cases, accounting for 26.3% of patients with chest pain digestive sources, while using conventional methods to diagnose chest pain patients with stomach, duodenum were 14 cases, accounting for only 5.8%. Conclusion The diagnosis effect of endoscopy in chest pain patients with stomach, duodenum is significantly better than conventional diagnostic methods. It can provide an important diagnosis idea for the disease.

关 键 词：胃病 十二指肠 胸痛 鉴别诊断 

分 类 号：R573[医药卫生—消化系统]