Rowland T W, Richards M M
Clin Pediatr (Phila). 1986 Dec;25(12):612-4. doi: 10.1177/000992288602501205.
Repetitive chest pain of obscure origin is commonly encountered in older children and adolescents. A questionnaire study was conducted to determine the long-term outcome in 31 patients diagnosed as having idiopathic recurrent chest pain after an average 4.1-year follow-up period. Although 45 percent reported having had persistent symptoms, chest pain had disappeared in 81 percent of those followed more than 3 years. Equally reassuring is the fact that in no case did occult disease subsequently appear to account for the initial symptoms. This study supports the current clinical approach of limited diagnostic evaluation and reassurance in the management of these patients.
原因不明的反复胸痛在大龄儿童和青少年中很常见。进行了一项问卷调查研究，以确定31例被诊断为特发性复发性胸痛的患者在平均4.1年的随访期后的长期预后。尽管45%的患者报告有持续症状，但在随访超过3年的患者中，81%的胸痛已经消失。同样令人安心的是，在任何情况下，隐匿性疾病后来都未表现为最初症状的病因。这项研究支持了目前对这些患者进行有限诊断评估并给予安慰的临床处理方法。
