50岁男性，胸痛。
50-year-old Male With Chest Pain.
作者信息
Fernandez William L, Bontempo Laura J, Dezman Zachary D W
机构信息
University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, Maryland.
University of Maryland School of Medicine, Department of Emergency Medicine, Baltimore, Maryland.
出版信息
Clin Pract Cases Emerg Med. 2019 Oct 21;3(4):321-326. doi: 10.5811/cpcem.2019.10.45318. eCollection 2019 Nov.
A 50-year-old male presented to the emergency department with four days of intermittent chest pain and shortness of breath, which progressively worsened in severity. Testing revealed a troponin I greater than 100 times the upper limit of normal and an electrocardiogram with non-specific findings. This case takes the reader through the differential diagnosis and systematic work-up of the deadly causes of chest pain, ultimately leading to this patient's diagnosis.
一名50岁男性因四天来间歇性胸痛和呼吸急促到急诊科就诊，症状严重程度逐渐加重。检查发现肌钙蛋白I高于正常上限100倍，心电图有非特异性表现。本病例引导读者对胸痛的致命病因进行鉴别诊断和系统检查，最终得出该患者的诊断结果。
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