非心源性胸痛80例临床分析

Clinical analysis on Non-cardiac chest pain:A Report of 80 cases

目的:探讨非心源性胸痛(NCCP)的临床特征,总结其诊断要点。方法:对80例NCCP患者的临床资料进行回顾性分析。结果:80例NCCP患者中消化系统疾病32例(40%),呼吸系统疾病22例(27.5%),血管疾病15例(18.75%),胸壁胸膜疾病7例(8.75%),其他类疾病4例(5%)。结论:NCCP病因复杂,症状、体征、理化检查往往与心源性胸痛有相似性,诊断和鉴别存在一定难度,主动脉夹层、肺栓塞等NCCP病情凶险。临床实践中需提高警惕,详加鉴别。

Objective：To explore the clinical characteristic of Non-cardiac chest pain （NCCP） summarizes its diagnosis main point.Methods：80 cases of NCCP patient＇s clinical characteristics was analysed by review.Results：In 80 example NCCP,it＇s 32 cases （40%）of digestive disease,22 cases （27.5%）of respiratory disorder,15 cases （18.75%）of blood vessel disease,7 cases （8.75%）of thoracic wall pleural membrane disease and 4 cases （6%） of other kind of diseases.Conclusions：NCCP＇s causes is complex,its symptoms and the physics and chemistry inspection often similarity with the cardiac chest pain.The diagnosis and distinction existence certain difficulty.Aortic dissection and Pulmonary embolism is bad risks in NCCP.In the clinical practice,we must enhance vigilance,detailed Canadian distinction.