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胸痛是日常生活和急诊常见的症状之一,占内科急诊病人的5%～20%,在三级医院内科急诊高达20%～30%。对于胸痛的救治,快速鉴别病因、迅速作出准确诊断是解决威胁生命的关键。高危胸痛主要指急性冠脉综合征、主动脉夹层、肺栓塞和张力性气胸4种疾病,在这4种疾病中急性冠脉综合征占80%以上病例。近年来急性冠脉综合征
Chest pain is one of the most common symptoms of daily life and emergency, accounting for 5% to 20% of patients in medical emergency and up to 20% to 30% of medical emergency in tertiary hospitals. For the treatment of chest pain, rapid identification of the cause, to quickly make an accurate diagnosis is the key to solving life-threatening. High-risk chest pain mainly refers to acute coronary syndrome, aortic dissection, pulmonary embolism and tension pneumothorax 4 diseases, acute coronary syndromes in these 4 diseases accounted for more than 80% of cases. In recent years, acute coronary syndrome