饮酒后的松性牙痛:酒精诱导的血管痛
Kosuke Ishizuka1, Yoshiyuki Ohira2, Mitsuyasu Ohta1
1Department of General Medicine, Yokohama City University School of Medicine, Yokohama, Japan.
酒精可以引发血管性心痛,这是一种心脏病,会导致暂时的冠状动脉. 这可能表现为无法解释的牙痛,强调需要考虑心脏原因的这种症状.
科学领域:
- 心脏病学 心脏病学
- 牙科医学 牙科医学
- 内部医学 内部医学
背景情况:
- 经常出现的偏激性牙痛,特别是在饮酒后,可能是心脏病的非典型表现.
- 血管性心痛 (VSA) 具有短暂的冠状动脉的特征,通常发生在特定时间或由某些因素引发.
- 虽然胸部疼痛很常见,但VSA可能会出现指导性疼痛,包括牙痛.
研究的目的:
- 报告一种酒精诱导的血管节痛病例,这种病例仅表现为阳性牙痛.
- 突出考虑心脏病因的重要性,在患有不明原因,酒精引发的症状的患者.
- 为了强调酸甘在疑似VSA的诊断价值.
主要方法:
- 一个68岁的日本男子在饮酒后经常出现牙痛的案例研究.
- 临床评估,包括体检和实验室测试.
- 用尼特洛甘油进行诊断试验,以评估症状反应.
主要成果:
- 患者在饮酒后2-3小时经历了孤立的,偶发的牙痛,持续10-15分钟.
- 身体检查和实验室发现并不显著.
- 随着尼特洛甘的使用,症状迅速消失 (1-2分钟),证实酒精诱导的VSA.
结论:
- 牙痛可能是血管性心痛的唯一表现症状,特别是当酒精触发时.
- 酒精诱导的VSA可能是血管光滑肌功能障碍或冠状动脉的结果.
- 临床医生应考虑心脏病因,如VSA,在不解释性性牙痛的差异诊断中,特别是与酒精触发因素.
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