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胸痛在囊性纤维化患者中的一种不常见表现:病例报告。

An Unusual Presentation of Chest Pain in a Patient With Cystic Fibrosis: A Case Report.

机构信息

Departments of Rehabilitation (Drs Traylor and DiPilla-George) and Pulmonology (Dr Tirakitsoontorn), CHOC Children's Hospital of Orange County, Orange, California.

出版信息

Pediatr Phys Ther. 2021 Apr 1;33(2):E99-E102. doi: 10.1097/PEP.0000000000000790.

DOI:10.1097/PEP.0000000000000790
PMID:33770802
Abstract

PURPOSE

This case report describes the identification and treatment of costochondritis with suspected neural entrapment in a 14-year-old individual diagnosed with cystic fibrosis.

SUMMARY OF KEY POINTS

The individual discussed in this report had resolution of his chest pain with additional improvement in pulmonary function test results.

STATEMENT OF CONCLUSION AND RECOMMENDATIONS FOR CLINICAL PRACTICE

This case supports the need for musculoskeletal and neuromuscular screening and intervention for patients with cystic fibrosis. The success of the intervention suggests that when traditional approaches to treatment of costochondritis fail, use of myofascial release at the accessory muscles of breathing could be beneficial.

摘要

目的

本病例报告描述了一例疑似神经嵌压性肋软骨炎的诊断和治疗,该患者为囊性纤维化患者。

关键点总结

本报告中讨论的患者胸痛缓解,肺功能测试结果进一步改善。

结论和临床实践建议

本病例支持对囊性纤维化患者进行肌肉骨骼和神经肌肉筛查和干预。干预的成功表明,当传统的肋软骨炎治疗方法失败时,使用呼吸辅助肌的肌筋膜松解可能是有益的。

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