| 摘要: |
| 目的探讨急性非创伤性胸痛病因及早期诊断方法。方法总结226例以急性非创伤性胸痛为主要症状患者的临床资料,进行病因和诊断方法的统计分析。结果以急性胸痛为主要表现的非创伤性疾病中,心源性123例,占54.42%,其中稳定型心绞痛12例,占5.31%;急性冠脉综合征81例,占35.84%;非心源性胸痛103例,占45.58%,以肺炎、支气管炎最为常见（31例,占13.72%）。两者在年龄、性别、心血管危险因素构上差异有统计学意义（P〈0.05）;结论急性胸痛的病因复杂,治疗方法不尽相同,医生应思路清晰,尽快明确诊断,使高危患者得到及时救治。 |
| 关键词: 急性胸痛 非创伤性 诊断 |
| DOI：10.3969/j. issnl008 -0392.2014.05.025 |
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| 基金项目: |
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| Clinical analysis of acute non-traumatic chest pain |
| ZHI Xiao-ming |
| (Dept. of Cadre Ward, Tongling People＇s Hospital, Tongling 244000, Anhui Province, China) |
| Abstract: |
| Objective To review the clinical data of acute non-traumatic chest pain. Methods The clinical data of 226 patients with acute non-traumatic chest pain as the main symptom were retrospectively analyzed. Results The cardiogenic diseases accounted for 54. 42%（123 /226） of acute chest pain,includingacute coronary syndrome（35. 84%,n = 81） and stable angina（5. 31%,n = 12）;non-cardiac chest pain accounted for 45. 58%（ 103 /226）,amongwhich bronchitis and pneumonia were most common（ 13. 72%,n = 31）. There were significant differences in age,gender and cardiovascular risk factors between cardiac and non-cardiac chest pain（ P〈0. 05）. Conclusion Acute non-traumatic chest pain is complex in etiology, clinical manifestation and treatments, prompt diagnosis and management are necessary. |
| Key words: acute chest pain non-traumatic diagnosis |
