急性胸痛89例临床分析

目的提高对急性胸痛的病因的认识,分析其临床特点,提高其诊断准确性。方法选择89例急性胸痛确诊病例,对其进行病因、症状、体征、辅助检查、诊断、治疗等资料的统计和分析。结果以胸痛为主要临床表现疾病病因以心源性胸痛为主占70.9%,、非心源性胸痛（主动脉夹层、肺栓塞等）占29.1%。结论急性胸痛的病因往往难以明确,在急诊工作中应该高度重视其筛查诊断,使病因不同的患者尽快得到正确治疗,最大限度地降低死亡率,减少漏诊、误诊事件的发生,减少医患纠纷的发生。

Clinical analysis of stethalgia in 89 cases

Objective To improve the understanding of the etiology of stethalgia,analyze the clinical features,improve the diagnostic accuracy.Methods 89 patients with stethalgia confirmed cases,its statistics and analysis of the causes,symptoms,signs,laboratory examinations,diagnosis,treatment,and other information.Results The major clinical manifestations of disease etiology mainly accounted for 70.9% of cardiac stethalgia,non-cardiac stethalgia（aortic dissection,pulmonary embolism,etc.）accounted for 29.1%.Conclusion The etiology of stethalgia is hard to clear constantly,emergency work should attach importance to the screening and diagnosis of different causes patients get the right treatment as soon as possible,to minimize mortality,reduce the misdiagnosis events occurred,reduce the disputes of doctor-patient.