摘要
目的总结儿童心前区不适的原因，探讨在分析儿童心前区不适时应遵循的思路和应注意的问题。方法对2004年1月至2007年1月在我院小儿心血管科以心前区不适就诊的314例儿童的相关资料进行统计，分析出现心前区不适的病因。结果心血管系统器质性疾病43例（13．7％），心血管系统非器质性疾病108例（34．4％），非心血管系统器质性疾病62例（19．7％），精神心理因素60例（19．1％），未能明确诊断41例（13．1％）。心血管系统器质性疾病患儿平均年龄小于其他各组患儿（P〈0．05）；心血管系统非器质性疾病组的几种伴随症状明显多于非心血管系统器质性疾病组和原因不明组（P〈0．05）。结论引起儿童心前区不适的原因很多，心前区不适不是儿童心血管系统器质性疾病独有的症状，在诊断过程中要注意多层面、多角度分析。
Objective To understand the cause of chest pain （precordium indisposition ） in children and explore the thread of thought in its analysis. Methods Clinical data of 314 children with chest pain who visited the cardiovascular department for children of our hospital were collected and analyzed to study its causes. Results The cause could be attributed to organic cardiac diseases in 43 of 314 children （13.7%） with chest pain, to non-organic cardiac diseases in 108 （34.4%）, to psychiatric-psychological factors in 60 （ 19. 1% ） and to unknown cause in 41 （ 13. 1% ）. Average age of children with organic cardiac diseases was younger than that of children with other causes （P 〈 0. 05 ）. Symptoms accompanied simultaneously in children with organic cardiac diseases were much more frequent significantly than those in them with non-organic cardiac chest pain and unknown causes （ P 〈 0. 05 ）. Conclusions Chest pain in children could be caused by a few causes, which was non-specific symptom for organic cardiac diseases, so, more should be taken into account in analyzing the cause of chest pain in children.
出处
《中华全科医师杂志》
2008年第8期531-534,共4页
Chinese Journal of General Practitioners
关键词
心血管疾病
儿童
诊断
Cardiovascular diseases
Child
Diagnosis
