Department of Paediatrics, Division of Paediatric Emergency Medicine, University of Toronto, Toronto, ON, Canada.
Med Clin North Am. 2010 Mar;94(2):327-47. doi: 10.1016/j.mcna.2010.01.004.
Chest pain is common in children seen in emergency departments, ambulatory clinics, and cardiology clinics. Although most children have a benign cause of their pain, some have serious and life-threatening conditions. The symptom must be carefully evaluated before reassurance and supportive care are offered. Because serious causes of chest pain are uncommon and not many prospective studies are available, it is difficult to develop evidence-based guidelines for evaluation. The clinician evaluating a child with chest pain should keep in mind the broad differential diagnosis and pursue further investigation when the history and physical examination suggest the possibility of serious causes.
胸痛在急诊室、门诊和心脏病诊所就诊的儿童中很常见。尽管大多数儿童胸痛的原因是良性的，但也有一些儿童患有严重的、危及生命的疾病。在提供安慰和支持性护理之前，必须仔细评估症状。由于胸痛的严重原因并不常见，并且没有多少前瞻性研究可用，因此很难为评估制定基于证据的指南。评估胸痛儿童的临床医生应牢记广泛的鉴别诊断，并在病史和体格检查提示存在严重病因的可能性时进行进一步检查。
