摘要
目的探讨以胸痛为主诉在心血管专科就诊的中青年亚健康状态患者的临床特点及鉴别诊断。方法收集2009年1月-2011年6月以胸痛为主诉在心血管专科门诊就诊的18～45岁的中、青年患者330例,分析其临床特点及诊断,了解亚健康状态所占比例及其鉴别诊断。结果以胸痛为主诉就诊的患者中,91.2%的患者未发现器质性病变,仅8.8%的患者检查发现器质性病变,分别为高血压病(2.4%)、反流性食管炎(1.5%)、壁冠状动脉(1.2%)、颈椎病(0.9%)、带状疱疹(0.6%)、冠心病(0.6%)、心肌炎(0.3%)、心包炎(0.3%)、肺炎(0.3%)、胸膜炎(0.3%)、心肌病(0.3%)。结论以胸痛为主诉在心血管专科就诊的中青年患者中,绝大部分无器质性病变,结合其他一些非特异性症状如失眠、多梦、精神紧张等,考虑为亚健康状态。当中青年患者以胸痛为主诉时,诊断亚健康状态应排除高血压、反流性食管炎、壁冠状动脉、颈椎病、带状疱疹、冠心病等疾病。
Objective To observe the clinic characteristics and distinguish in sub-health patients as chest pain as chief complaint to see the doctor of department of cardiopathy.Methods 330 patients whose age among 18-45 years and whose chief complaint was chest pain were collected.We analysed the clinic characteristic and distinguished so as to understand the percentage of sub-health.Results 91.2% of all the patients had no pathological changes,8.8% was ill,they were as follows： hypertension（2.4%）,reflux esophagitis（1.5%）,Mural coronary artery（1.2%）,cervical spondylosis（0.9%）,herpes zoster（0.6%）,coronary heart disease（0.6%）,myocarditis（0.3%）,pericarditis（0.3%）,pneumonia（0.3%）,pleurisy（0.3%） and cardiomyopathy（0.3%）.So our diagnosis was sub-health to these patients.Conclusion When we diagnosed the sub-health to the patients whose chief complaint was chest pain,we must pay attention to exclude the other diseases such as hypertension,esophagitis,myocadial bridge,disease of vertebrage vervicales,herpes cervicales and coronary heart disease and so on.
出处
《中华全科医学》
2013年第3期357-358,共2页
Chinese Journal of General Practice
关键词
中青年
胸痛
亚健康
Young and middle-aged person
Chest pain
Sub-health
作者简介
通讯作者：曹萍，电子信箱：cplihao@yahoo．com．cn
