Barocka A
Klinik Hohe Mark, Oberursel.
MMW Fortschr Med. 2002 Apr 25;144(17):34-6.
In the management of psychogenic chest pain, the family doctor has a key role to play. His main task is to exclude physical or organic causes and identify the underlying psychogenesis--admittedly without wishing to establish a definitive (ICD-10) diagnosis. For this purpose, empathic reassurance of the patient is of major importance. Wherever possible, hospitalization of the patient for a diagnostic clarification should be avoided. Therapeutic options comprise suitable physiotherapy, psychohygienic measures, and appropriate pharmacotherapy. Major goals of such an approach are the establishment of a trusting relationship, and improving the patient's sleep patterns, physical fitness and emotional status. In the event of long-term persistence of the condition or a severe course, referral to a specialist is indicated.
在精神性胸痛的管理中，家庭医生起着关键作用。其主要任务是排除身体或器质性病因，并确定潜在的心理成因——诚然，并不需要做出明确的（国际疾病分类第十版，ICD - 10）诊断。为此，对患者进行共情安抚至关重要。只要有可能，就应避免让患者住院以进行诊断性澄清。治疗选择包括适当的物理治疗、心理卫生措施和合适的药物治疗。这种治疗方法的主要目标是建立信任关系，改善患者的睡眠模式、身体健康状况和情绪状态。如果病情长期持续或病情严重，则需转诊至专科医生处。
