消化源性胸痛患者的临床特征与鉴别诊断价值分析
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摘要
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.
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.
引文
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[2]郑红,卢铁兵.非心源性胸痛误诊冠心病28例分析[J].黔南民族医专学报,2016,29(3):183-184.
[3]郭忠良.非心源性胸痛40例临床分析[J].基层医学论坛,2015,19(26):3652-3653.
[4]刘国荣,郭东风,张晨君,等.缺血修饰蛋白对心源性胸痛的临床诊断价值研究[J].农垦医学,2015,37(2):103-106.
[5]王宇,薛铮,吕新湖,等.缺血性修饰蛋白在诊断急性胸痛中的价值分析[J].岭南心血管病杂志,2017,23(1):45-48,92.
[6]王华军,沙卫红,邝惠冰,等.心源性胸痛与非心源性胸痛患者焦虑抑郁情绪对比分析[J].岭南心血管病杂志,2017,23(6):792-794.
[7]邓卓超,朱立柏,王慧萍,等.改良HEART评分在心源性胸痛早期诊断中的价值[J].岭南急诊医学杂志,2014,19(1):3-6.
[8]尹小君,王俊红,张国秀.急性胸痛患者临床资料回顾性分析[J].现代医药卫生,2018,34(17):2726-2728.
[9]魏佳,王晓兵.伴有胸痛的消化疾病的诊断方法[J].医学新知,2017,27(6):570-572.
[10]何文秀.以胸痛为首发症状的胃食管反流病36例误诊讨论[J].临床误诊误治,2014,27(2):24-25.
[11]覃墨林,沈印.116例胸痛患者的诊断与治疗分析[J].大家健康(下旬版),2016,10(10):51-51.
[12]实祝华.胃十二指肠疾病致胸痛的临床思路构建[J].中国煤炭工业医学杂志,2015,18(1):55-57.