School of Medicine, Logan Campus, Griffith University, University Drive, Meadowbrook, Queensland 4131, Australia.
Med Clin North Am. 2010 Mar;94(2):349-74. doi: 10.1016/j.mcna.2010.01.011.
This article focuses on the key clinical and investigatory features that help differentiate the multiple causes of chest pain in adults in assessment of patients with undifferentiated chest pain in primary care using history, physical examination, and basic initial investigations. The initial treatment of many of the causes is discussed. Some treatments not only relieve symptoms but also provide further diagnostic information based on the response to treatment. Guidance for referral for specialist assessment and further investigations is provided, but the diagnostic usefulness of these measures is not discussed.
本文重点介绍了有助于区分成年人胸痛多种病因的关键临床和检查特征，以便在初级保健中使用病史、体格检查和基本初步检查来评估未明确诊断的胸痛患者。讨论了许多病因的初始治疗方法。一些治疗方法不仅可以缓解症状，而且还可以根据治疗反应提供进一步的诊断信息。提供了转诊给专家评估和进一步检查的指导，但未讨论这些措施的诊断有用性。
