108例急诊胸痛患者临床诊疗探讨

Clinical Diangnosis and Treatment Experience of Patients With Acute Chest Pain(108 Cases)

目的提高对胸痛机理的认识,总结治疗经验与方法。方法总结108例急诊胸痛患者的病例资料,深入研究统计各个患者的病因、症状、诊断、治疗方法及效果。结果胸痛疾病病因主要分为心源性胸痛(68.9%)和非心源性胸痛(31.1%)两种。前者以心绞痛(53.7%)和心肌梗死(9.5%)为主。后者以支气管肺炎最常见。结论急性胸痛的病因为复杂,临床诊断时应注重诊断,以针对不同病因施以更准确的治疗。

Objective To improve the understanding of the mechanism of chest pain,and summary treatment experience and methods. Methods Summarize the clinical data of 108 cases of emergency room patients with chest pain,study and count the symptoms, diagnosis, treatment, and the effect of each etiology deeply. Result The cause of chest pain mainly include Cardiac chest pain（68.9%） and Non-cardiac chest pain（31.1%）.The first gives priority to angina （53.7%） and myocardial infarction （9.5%）, and bronchial pneumonia is comment for the later one. Conclusion The etiology of acute chest pain is relatively complex,we should focus on the diagnosis of clinical diagnosis,to impose a more accurate treatment for different causes.