食管异物致胸痛的急诊诊治体会

• 作 者: 黄唯佳 卢中秋
• 机 构: 温州医学院附属第一医院急诊科,
• 出 处: 临床急诊杂志
• 发表日期: 2006年01期
• 关键词: 食管异物 返流性食管炎 急性胸痛 胸痛 急诊 食管 腹痛史 鉴别诊断 临床症状 高血压

胸痛是急诊常见的临床症状,心源性与肺源性胸痛已为绝大多数医师所熟悉,虽食管源性胸痛也越来越受重视,但多诊断为返流性食管炎,对于异物哽咽史不明显而表现为急性胸痛的食管异物患者,在急诊就诊中易误诊或漏诊。现就我们接诊的3例食管异物患者的误诊经验,谈谈急诊胸痛的鉴别诊断。1 临床资料3例患者,男2例,女1例,年龄>45岁,继往无高血压、糖尿病、胸痛、腹痛史。均为进食后出现急性胸痛,但均否认有异物哽咽史,胸痛剧,表现为胸

Chest pain is a common clinical symptoms of emergency, cardiogenic and pulmonary chest pain has been familiar to most physicians, although esophageal chest pain is also more and more attention, but more diagnosis of reflux esophagitis, choking on foreign body History is not obvious and the performance of acute chest pain in patients with esophageal foreign body, easy to misdiagnosis or missed diagnosis in emergency treatment. Now we admissions of 3 cases of esophageal foreign body misdiagnosis of patients, to talk about the differential diagnosis of chest pain. 1 Clinical data 3 patients, 2 males and 1 females, aged> 45 years old, no history of high blood pressure, diabetes, chest pain, abdominal pain history. Are acute chest pain after eating, but all denied the history of foreign body choking, chest pain drama, manifested as chest