消化源性胸痛患者的临床特征与鉴别诊断价值分析

Clinical Characteristics and Differential Diagnosis Value of Patients With Digested Chest Pain

目的研究消化源性胸痛患者的临床特征以及鉴别诊断的价值。方法选取我院2017年8月—2018年8月收治的124例消化源性胸痛患者作为研究对象。对所有患者的临床特征以及鉴别诊断进行分析。结果胸骨后及心前区为消化源性胸痛患者主要疼痛部位,同时有52例患者表现出明显的烧灼样疼痛,有50例患者表现为烧心感。通过采用胃镜、B超以及活检、CT等检查技术,一共诊断出了14种疾病,反流性食管炎人数最多;采用心电图检查,提示有85例患者心电图结果不正常;其中共63例为缺血性ST-T改变。结论对消化源性胸痛患者临床诊断中,应当积极分析其临床特征,对鉴别诊断质量提升有着重要的价值。

Objective To study the clinical characteristics and differential diagnosis value of patients with digested chest pain.Methods 124 patients with digestive chest pain from August 2017 to August 2018 were selected and their clinical characteristics and differential diagnosis were analyzed. Results Posterior sternum and anterior cardiac region were the main pain sites in patients with digestive chest pain.At the same time,52 patients showed obvious burning pain,and 50 patients showed heartburn.14 kinds of diseases were diagnosed by gastroscopy,B-mode ultrasound, biopsy and CT.The number of reflux esophagitis was the largest.ECG examination indicated that 85 patients had abnormal ECG results,of which 63 were ischemic ST-T changes.Conclusion In clinical diagnosis of patients with digestive chest pain,we should actively analyze its clinical characteristics,which is of great value to improve the quality of differential diagnosis.