急诊内科惊恐发作胸痛患者的特征分析  

The Study of the Characteristics of Chest Pain in the Emergency Medical Patients with Panic Attacks

作　　者：陈淑芳[1] 

机构地区：[1]大连医科大学附属第二医院急诊科,辽宁大连116027

出　　处：《医学与哲学（B）》2017年第9期48-50,54,共4页Medicine & Philosophy(B)

摘　　要：为探讨急诊内科胸痛患者的胸痛病因及特征,选取大连医科大学附属第二医院急诊内科1个月内来诊的胸痛患者共97例,即刻或住院明确诊断后对各病胸痛特点进行统计学分析。其中14例(14.4%)确诊急性冠脉综合征(acute coronary syndrome,ACS),71例(73.2%)诊断为惊恐发作(panic attack,PA),其他原因胸痛12例(12%)。结果发现ACS和PA两组对比,其中年龄,压迫性痛无放散,针刺样痛,心电图,肌钙蛋白,冠脉造影两组间具有显著性差异。性别,诱因,伴随心悸,压迫性痛伴放散,非特异性痛,持续时间两组间差异无显著性。本研究表明近似73%的急诊胸痛患者由惊恐发作所致,其胸痛特点为针刺样痛。To explore the etiology and the characteristics of chest pain in the emergency medical patients with panic attacks,this prospective cohort study enrolled a total of 97 cases of patients with chest pain in the emergency medicine of the second hospital of Dalian Medical University up to 1 month,and their clinical characteristics were statistically assessed after the patients were diagnosed immediately or hospitalized subsequently. Among the patients,14（ 14. 4%） patients were diagnosed acute coronary syndrome,71（ 73.2%） patients were diagnosed as panic attack,and 12（ 12 %） patients were diagnosed as other causes. This study compares chest pain in the context of acute coronary syndrome and panic attack in terms of their symptom and clinical correlates.The results showed that age, oppressive chest pain without radiation, acupuncture-like pain, ECG, troponin, coronary angiography with significant differences,while gender,incentives,palpitations,nonspecific chest pain,oppressive chest pain with radiation,duration difference between the groups with no significant differences. This study showed that approximately 73% of emergency department patients with chest pain were caused by panic attack,and that the chest pain was characterized by acupuncture-like pain.

关 键 词：惊恐发作 急性冠脉综合征 胸痛 

分 类 号：R459.7[医药卫生—急诊医学]