处理非典型胸痛患者。
Managing the patient with atypical chest pain.
作者信息
Snape W J
机构信息
Department of Medicine, University of California, Irvine, USA.
出版信息
Hosp Pract (1995). 1997 Apr 15;32(4):159-73; discussion 173-4 passim. doi: 10.1080/21548331.1997.11443470.
Abstract
Since angina and heartburn can feel the same, excluding cardiac disease may be the first order of business. That done, clinical findings and laboratory tests can help identify the esophageal disturbance. Gastric acid reflux, motility disorders, and visceral nerve hypersensitivity--alone or in combination--can cause chest pain, and each may call for a different pharmacologic regimen.
摘要
由于心绞痛和胃灼热的感觉可能相同，排除心脏病可能是首要任务。完成此项后，临床检查结果和实验室检查有助于识别食管紊乱。胃酸反流、动力障碍和内脏神经超敏反应——单独或合并出现——都可能导致胸痛，且每种情况可能需要不同的药物治疗方案。
相似文献
1
Managing the patient with atypical chest pain.处理非典型胸痛患者。
Hosp Pract (1995). 1997 Apr 15;32(4):159-73; discussion 173-4 passim. doi: 10.1080/21548331.1997.11443470.
2
Acid reflux test for gastroesophageal reflux after distal gastrectomy: diagnosis and clinical effect of cisapride.远端胃切除术后胃食管反流的酸反流试验：西沙必利的诊断及临床疗效
J Am Coll Surg. 1998 May;186(5):596-600. doi: 10.1016/s1072-7515(98)00086-6.
3
A jackhammer in the gullet: high amplitude oesophageal contractions as a cause of atypical chest pain.食管中的风钻：高振幅食管收缩作为非典型胸痛的一个原因
BMJ Case Rep. 2015 Oct 5;2015:bcr2015210631. doi: 10.1136/bcr-2015-210631.
4
Effects of ranitidine and cisapride on acid reflux and oesophageal motility in patients with reflux oesophagitis: a 24 hour ambulatory combined pH and manometry study.雷尼替丁和西沙必利对反流性食管炎患者胃酸反流及食管动力的影响：一项24小时动态pH值与测压联合研究
Gut. 1993 Aug;34(8):1025-31. doi: 10.1136/gut.34.8.1025.
5
The effect of cisapride in patients with reflux esophagitis: an ambulatory esophageal manometry/pH-metry study.西沙必利对反流性食管炎患者的影响：一项动态食管测压/食管pH值监测研究。
Am J Gastroenterol. 1997 Feb;92(2):226-30.
6
Esophageal motility disorders and their coexistence with pathologic acid reflux in patients with noncardiac chest pain.非心源性胸痛患者的食管动力障碍及其与病理性酸反流的共存情况。
Scand J Gastroenterol. 1995 Sep;30(9):833-8. doi: 10.3109/00365529509101588.
7
Acute noncardiac chest pain in a coronary care unit. Evaluation by 24-hour pressure and pH recording of the esophagus.冠心病监护病房中的急性非心源性胸痛。通过食管24小时压力和pH值记录进行评估。
Gastroenterology. 1992 Feb;102(2):453-60. doi: 10.1016/0016-5085(92)90090-l.
8
Manometric findings of esophageal motor disorders in 240 Brazilian patients with non-cardiac chest pain.
Dis Esophagus. 2000;13(2):117-21. doi: 10.1046/j.1442-2050.2000.00081.x.
9
[Reflux-associated nutcracker oesophagus in a 49-year-old patient with non-cardiac chest pain (NCCP)].[一名49岁非心源性胸痛（NCCP）患者的反流相关性胡桃夹食管]
Z Gastroenterol. 2007 Mar;45(3):251-3. doi: 10.1055/s-2006-927154.
10
Ambulatory 24-hour esophageal manometry and pH-metry in patients with noncardiac chest pain, but no reflux symptoms.非心源性胸痛但无反流症状患者的动态24小时食管测压和pH值测定
Kaohsiung J Med Sci. 1997 May;13(5):293-300.
Zotero 插件