摘要
全科医师接诊胸闷、心悸患者时需注意从患者的众多不适中识别出主要症状,通过体格检查发现可能存在的心律失常,心电图即可确诊部分心律失常,然后根据患者情况展开相关辅助检查,评估患者的潜在风险,继而根据病情制定诊疗和干预计划。本文以北京市东城区体育馆路社区卫生服务中心接诊胸闷、心悸的真实患者为例,模拟临床诊疗过程,对胸闷、心悸的临床诊疗思维进行介绍,并首次发现心律失常患者需转诊。
When treating patients with chest tightness and palpitation,general practitioners(GPs) should pay attention to identify the main symptoms from complex complaints,detecting possible arrhythmia through physical examination and electrocardiogram. Then, relevant auxiliary examinations can be carried out according to the patients’ conditions to assess the potential risks of patients. GPs can make plans for diagnosis, treatment and intervention according to the results above. Though the real patient with chest tightness and palpitation, simulating the clinical diagnosis and treatment process, the author introduces the clinical diagnosis and treatment thinking of chest tightness and palpitation. Patients with arrhythmia first discovered need referral.
作者
闫桂霞
马力
YAN Gui-xia;MA Li(Department qf General Practice, Tiyuguanlu Community Health Service Center, Dongcheng District, Beijing 100061,China; Department of General Practice, Beijing Tiantan Hospital, Capital Medical University, Beijing 100070 , China)
出处
《临床药物治疗杂志》
2019年第3期38-42,共5页
Clinical Medication Journal
关键词
胸闷
心悸
室性期前收缩
chest tightness
palpitation
ventricular premature contraction
