Koren W, Shahar A
Department of Emergency Medicine, Chaim Sheba Medical Center, Sackler School of Medicine, Tel Hashomer, Israel.
Am J Emerg Med. 1998 Mar;16(2):177-8. doi: 10.1016/s0735-6757(98)90041-9.
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.
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。
