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直背综合征伴胸背痛:一例报告

Straight Back Syndrome Presented with Chest and Back Pain: A Case Report.

作者信息

Shiba Hiroshi, Kenzaka Tsuneaki

机构信息

Department of Internal Medicine, Suwa Central Hospital, Chino, Japan.

Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, Tamba, Japan.

出版信息

Int Med Case Rep J. 2022 Oct 31;15:611-614. doi: 10.2147/IMCRJ.S385312. eCollection 2022.

DOI:10.2147/IMCRJ.S385312
PMID:36338542
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9635548/
Abstract

A 17-year-old female adolescent presented with her mother to our clinic with a two-month history of left-sided chest pain and a one-week history of middle back pain. We diagnosed straight back syndrome based on the chest and thoracic radiographic findings and symptoms of chest pain, palpitations, and dyspnea. We reassured the patient that the disease was benign and advised her to start and continue chiropractic therapy. All symptoms, including back pain, disappeared in three weeks. Straight back syndrome is under-diagnosed, and back pain is less recognized as a symptom of the disease.

摘要

一名17岁的女性青少年与母亲一同前来我们诊所,她有两个月的左侧胸痛病史和一周的中背部疼痛病史。我们根据胸部和胸椎的影像学检查结果以及胸痛、心悸和呼吸困难的症状诊断为直背综合征。我们向患者保证该疾病是良性的,并建议她开始并持续接受脊椎按摩治疗。包括背痛在内的所有症状在三周内消失。直背综合征的诊断不足,背痛作为该疾病的症状较少被认识到。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6336/9635548/35517c7f59ba/IMCRJ-15-611-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6336/9635548/a7634c538d8e/IMCRJ-15-611-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6336/9635548/35517c7f59ba/IMCRJ-15-611-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6336/9635548/a7634c538d8e/IMCRJ-15-611-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6336/9635548/35517c7f59ba/IMCRJ-15-611-g0002.jpg

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本文引用的文献

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Relief of exertional dyspnea and spinal pains by increasing the thoracic kyphosis in straight back syndrome (thoracic hypo-kyphosis) using CBP methods: a case report with long-term follow-up.采用脊椎矫正疗法(CBP)增加直背综合征(胸椎后凸不足)患者的胸椎后凸角度以缓解劳力性呼吸困难和脊柱疼痛:一项长期随访的病例报告
J Phys Ther Sci. 2018 Jan;30(1):185-189. doi: 10.1589/jpts.30.185. Epub 2018 Jan 27.
2
Nonsurgical correction of straight back syndrome (thoracic hypokyphosis), increased lung capacity and resolution of exertional dyspnea by thoracic hyperkyphosis mirror image traction: a CBP case report.通过胸椎后凸镜像牵引非手术矫正直背综合征(胸椎后凸减少)、增加肺容量并缓解劳力性呼吸困难:一例脊椎矫正整复疗法病例报告
J Phys Ther Sci. 2017 Nov;29(11):2058-2061. doi: 10.1589/jpts.29.2058. Epub 2017 Nov 24.
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Straight back syndrome with pathological Q wave misdiagnosed as established myocardial infarction.直背综合征伴病理性Q波误诊为陈旧性心肌梗死。
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Straight back syndrome manifesting as acute myocardial infarction.表现为急性心肌梗死的直背综合征
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An interesting case of straight back syndrome and review of the literature.一例直背综合征的有趣病例及文献综述。
Asian Cardiovasc Thorac Ann. 2016 Jan;24(1):63-5. doi: 10.1177/0218492314539335. Epub 2014 Jun 6.
7
Straight Back Syndrome: positive response to spinal manipulation and adjunctive therapy - A case report.直背综合征:对脊柱推拿及辅助治疗的阳性反应——病例报告
J Can Chiropr Assoc. 2013 Jun;57(2):143-9.
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Straight back syndrome.直背综合征
Eur Heart J. 2009 Jul;30(14):1752. doi: 10.1093/eurheartj/ehp197. Epub 2009 May 19.
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Tracheal compression caused by straight back syndrome, chest wall deformity, and anterior spinal displacement: techniques for relief.直背综合征、胸壁畸形和脊柱前移所致气管受压:缓解技术
Ann Thorac Surg. 2005 Dec;80(6):2057-62. doi: 10.1016/j.athoracsur.2005.05.026.
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The "straight back" syndrome, a new cause of pseudoheart disease.“直背”综合征——假性心脏病的一种新病因。
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