Department of Geriatric and Emergency Medicine, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.
Key Laboratory for Diagnosis and Treatment of Aging and Physic-chemical Injury Diseases of Zhejiang Province, Hangzhou 310003, China.
J Zhejiang Univ Sci B. 2023 May 15;24(5):455-457. doi: 10.1631/jzus.B2300026.
Chest pain is one of the most common complaints in the emergency department. Diseases of the heart, aorta, lungs, esophagus, stomach, mediastinum, pleura, and abdominal viscera can all cause chest discomfort (Gulati et al., 2021; Jiao et al., 2021; Lu et al., 2022). Clinicians in the emergency department are expected to immediately recognize life-threatening chest pain (Jiao et al., 2021). Delayed diagnosis further increases the risk of complications and mortality (Liu et al., 2021). In this case, we present an elderly Chinese female who had a history of myocardial infarction two years previously, with chest pain eventually found to be caused by ingestion of a duck bone.
胸痛是急诊科最常见的主诉之一。心脏、主动脉、肺、食管、胃、纵隔、胸膜和腹部内脏的疾病都可引起胸部不适（Gulati 等人，2021 年；焦等人，2021 年；陆等人，2022 年）。急诊科的临床医生预计会立即识别出危及生命的胸痛（焦等人，2021 年）。延迟诊断会进一步增加并发症和死亡率的风险（刘等人，2021 年）。在本例中，我们介绍了一位有两年前心肌梗死病史的老年中国女性，最终发现她的胸痛是由吞食鸭骨引起的。
