Clinical Analysis of 285 Cases of Acute Chest Pain

Objective To discuss the pathogeny of chest pain and improve the diagnosis and treatment.Methods A total of 285 cases of emergency nontraumatic chest pain were collected to analyze the pathogeny,symptom,sign,auxiliary examination,diagnosis and treatment.Results The cardiac chest pain(154 cases,54%) included stenocardia(72 cases,25%),myocardial infarction(55 cases,19.3%),aortic dissection(12 cases,4.2%) and myocarditis(8 cases,2.8%).The non-cardiac chest pain(131 cases,46%) include pulmonitis(32 cases,11.2%),pulmonary embolism(12 cases,4.2%),pleuritis(10 cases,3.5%),spontaneity pneumothorax(9 cases,3.2%),lung cancer(6 cases,2.1%) and gastroesophaeal reflux disease(6 cases,2.1%).Conclusion The acute chest pains are often with complex causes and diversified clinical presentations,thus,the emergency doctors should pay high attentions to the diagnosis and treatment for acute chest pain,which related to the safety and prognosis for patients.