Bordoni Bruno, Marelli Fabiola, Morabito Bruno, Castagna Roberto
Foundation Don Carlo Gnocchi IRCCS, Department of Cardiology, Institute of Hospitalization and Care with Scientific Address, Milan, Italy.
CRESO, School of Osteopathic Centre for Research and Studies, Gorla Minore, Italy.
Int J Chron Obstruct Pulmon Dis. 2018 Apr 12;13:1157-1165. doi: 10.2147/COPD.S156729. eCollection 2018.
COPD is a progressive condition that leads to a pathological degeneration of the respiratory system. It represents one of the most important causes of mortality and morbidity in the world, and it is characterized by the presence of many associated comorbidities. Recent studies emphasize the thoracic area as one of the areas of the body concerned by the presence of pain with percentages between 22% and 54% in patients with COPD. This article analyzes the possible causes of mediastinal pain, including those less frequently taken into consideration, which concern the role of the fascial system of the mediastinum. The latter can be a source of pain especially when a chronic pathology is altering the structure of the connective tissue. We conclude that to consider the fascia in daily clinical activity may improve the therapeutic approach toward the patient.
慢性阻塞性肺疾病（COPD）是一种进行性疾病，会导致呼吸系统的病理退化。它是全球最重要的死亡和发病原因之一，其特征是存在许多相关的合并症。最近的研究强调胸部区域是COPD患者中出现疼痛的身体部位之一，疼痛发生率在22%至54%之间。本文分析了纵隔疼痛的可能原因，包括那些较少被考虑的原因，这些原因涉及纵隔筋膜系统的作用。后者可能是疼痛的来源，特别是当慢性病理改变结缔组织结构时。我们得出结论，在日常临床活动中考虑筋膜可能会改善对患者的治疗方法。
