Arroyo J F, Jolliet P, Junod A F
Department of Internal Medicine, Geneva University Hospital, Switzerland.
Postgrad Med J. 1992 Aug;68(802):655-9. doi: 10.1136/pgmj.68.802.655.
The diagnostic work-up of atypical chest pain frequently leads to invasive procedures. However, this painful symptomatology can sometimes be of benign origin and respond to simple therapeutic manoeuvres. A number of musculoskeletal conditions such as costovertebral joint dysfunctions should be carefully considered. We report five cases in which patient discomfort and high costs could have been avoided if awareness of these conditions had led to a correct diagnosis upon initial physical examination.
非典型胸痛的诊断检查常常会导致进行侵入性操作。然而，这种疼痛症状有时可能源于良性病因，并且对简单的治疗手段有反应。一些肌肉骨骼疾病，如肋椎关节功能障碍，应予以仔细考虑。我们报告了5例病例，如果在初次体格检查时，对这些疾病有所认识从而做出正确诊断，患者的不适和高昂费用本可避免。
