Ellenga Mbolla B F, Gombet T R, Atipo Ibara B I, Ikama M S, Massamba Miabaou D, Etitiele F
Service des Urgences, CHU de Brazzaville, BP32 Brazzaville, Congo.
Mali Med. 2009;24(2):35-8.
This retrospective survey that is about the adult's non traumatic thoracic pains has been achieved during one period of three months in the service of the emergencies of the hospitable and academic center of Brazzaville. Her goal was to determine the prevalence of the thoracic pains, to specify their causes and the place of the cardiovascular diseases. We collected 88 cases left in 40 men (45.5%) and 48 women (54.5%). The sex-ratio was of 1.2. The middle age of the population of survey was of 38.8+/-17.3 years (extreme 18 and 74 years). The prevalence of the non traumatic thoracic pains was of 9.1%. Twenty-one patients (23.9%) were HIV, 9 patients (10.2%) were active smoke or weaned since less than three years. The associated signs were represented by the fever in 42 cases (47.7%), the dyspnoea in 37 cases (42%) and the cough in 33 cases (37.5%). The main diseases was represented by the respiratory diseases in 52 cases (59%), the oesophagus and gastric diseases in 16 cases (18.2%) and the cardiovascular disease in 10 cases (11.4%). The treatment analgesic has been used among 44 patients (50%) outside of the treatment of causes. The middle length of hospitalization in the service of the emergencies was of 25.7+/-8.3 hours, with the extremes of 12 and 48 hours. No deaths have been recorded.
这项关于成人非创伤性胸痛的回顾性调查，是在布拉柴维尔好客与学术中心的急诊服务部门，于三个月的时间内完成的。其目的是确定胸痛的患病率，明确其病因以及心血管疾病所占的比例。我们收集了88例病例，其中男性40例（45.5%），女性48例（54.5%）。性别比为1.2。调查人群的平均年龄为38.8±17.3岁（年龄范围18至74岁）。非创伤性胸痛的患病率为9.1%。21例患者（23.9%）为艾滋病毒感染者，9例患者（10.2%）为现吸烟者或戒烟不到三年者。相关体征包括42例（47.7%）发热、37例（42%）呼吸困难和33例（37.5%）咳嗽。主要疾病包括52例（59%）呼吸系统疾病、16例（18.2%）食管和胃部疾病以及10例（11.4%）心血管疾病。44例患者（50%）在未针对病因治疗的情况下使用了止痛治疗。急诊服务部门的平均住院时长为25.7±8.3小时，最短12小时，最长48小时。未记录到死亡病例。
