Conacher I D, Doig J C, Rivas L, Pridie A K
Department of Anaesthetics, Freeman Hospital, Newcastle upon Tyne.
Anaesthesia. 1993 Dec;48(12):1070-1. doi: 10.1111/j.1365-2044.1993.tb07530.x.
Two patients who underwent coronary artery bypass grafting in which the internal mammary arteries were used, developed chronic, atypical chest pain. After further investigation a diagnosis of intercostal neuralgia was made. It is thought that this condition is due to damage to the intercostal nerves when the internal mammary arteries are dissected. Intercostal neuralgia should be included in the differential diagnosis of chest pain after coronary artery surgery, as its recognition may save the patient unnecessary investigation and suffering.
两名接受了使用乳内动脉的冠状动脉搭桥手术的患者出现了慢性非典型胸痛。经过进一步检查，诊断为肋间神经痛。据认为，这种情况是由于在解剖乳内动脉时肋间神经受到损伤所致。肋间神经痛应纳入冠状动脉手术后胸痛的鉴别诊断，因为认识到这一点可以避免患者进行不必要的检查和遭受痛苦。
