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剑突下疼痛掩盖急性心肌梗死:诊断的死胡同。

Xiphodynia masking acute myocardial infarction: a diagnostic cul-de-sac.

作者信息

Koren W, Shahar A

机构信息

Department of Emergency Medicine, Chaim Sheba Medical Center, Sackler School of Medicine, Tel Hashomer, Israel.

出版信息

Am J Emerg Med. 1998 Mar;16(2):177-8. doi: 10.1016/s0735-6757(98)90041-9.

Abstract

A 52-year-old hypertensive woman is described in whom a clinically evident diagnosis of xiphodynia, the painful xiphoid process, complicated the diagnosis of impending myocardial infarction. The authors suggest that xiphodynia be considered a second-line assumption after more dangerous conditions have been thoroughly ruled out.

摘要

本文描述了一名52岁的高血压女性患者,其剑突疼痛(临床上明显诊断为剑突痛)使即将发生的心肌梗死的诊断变得复杂。作者建议,在彻底排除更危险的情况后,应将剑突痛视为二线诊断假设。

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