Gupta Rohit, Munoz Robert
Department of Emergency Medicine, Advocate Christ Medical Center, 4440 West 95th Street, Oak Lawn, IL 60453, USA.
Department of Emergency Medicine, Advocate Christ Medical Center, 4440 West 95th Street, Oak Lawn, IL 60453, USA.
Emerg Med Clin North Am. 2016 Aug;34(3):523-42. doi: 10.1016/j.emc.2016.04.006.
Geriatric patients are at increased risk for serious morbidity and mortality from life-threatening causes of chest pain. This article covers 5 life-threatening causes of chest pain in the elderly: acute coronary syndrome, aortic dissection, pulmonary embolism, pneumothorax, and esophageal rupture. Atypical presentations, frailty, and significant comorbidities that characterize the elderly make the diagnosis and treatment of these already complicated conditions even more complicated. The emergency provider must be vigilant and maintain a low threshold to test. When a diagnosis is made, treatment must be aggressive. The elderly benefit from optimal care.
老年患者因危及生命的胸痛病因导致严重发病和死亡的风险增加。本文涵盖了老年人5种危及生命的胸痛病因：急性冠状动脉综合征、主动脉夹层、肺栓塞、气胸和食管破裂。老年人典型的非典型表现、身体虚弱和严重的合并症，使得这些本就复杂的病症的诊断和治疗更加复杂。急诊医护人员必须保持警惕，降低检查门槛。一旦确诊，治疗必须积极。老年人能从最佳治疗中获益。
