Schapira D, Nachtigal A, Scharf Y
B. Shine Department of Rheumatology, Rambam Medical Center, Haifa, Israel.
Clin Rheumatol. 1995 Jul;14(4):478-80. doi: 10.1007/BF02207687.
Spontaneous fractures of the sternum are rare but worth knowing as they may simulate acute cardiac and pulmonary emergencies. A case of an insufficiency sternal fracture mimicking myocardial infarction and subsequent anginal pain is presented. The risk factors of this condition, its clinical features and the diagnostic procedures are discussed. Spontaneous fractures of the sternum should be considered as a diagnostic possibility for unexplained chest pains in the elderly.
胸骨自发性骨折虽罕见,但因其可能类似急性心脏和肺部急症,故而值得了解。本文介绍了一例酷似心肌梗死及后续心绞痛的不全性胸骨骨折病例。文中讨论了该病症的危险因素、临床特征及诊断方法。对于老年人不明原因的胸痛,应考虑胸骨自发性骨折这一诊断可能性。