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儿童胸痛:这是另一个"成长疼痛"?
Mia Kassab1,2, Abhay Katyal1,2, Sonia Franciosi1,2
1Department of Pediatrics The University of British Columbia Vancouver British Columbia Canada.
Paediatric & neonatal pain
|March 26, 2025
概括
儿童胸痛通常非心脏性,肌肉骨性原因是最常见的. 区分良性疼痛和识别体化是有效治疗的关键.
科学领域:
- 儿科医学 儿科医学
- 心脏病学 心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 胸痛是儿科常见的抱怨,99%的病例有非心脏起源.
- 肌肉骨原因是儿童最常见的非心脏性胸痛病因.
- 对于肌肉骨性胸痛的现有诊断标签可能被应用得太广泛了.
研究的目的:
- 审查建议的小儿胸痛的病因.
- 评估支持当前诊断和管理方法的证据.
- 为了区分良性肌肉骨性胸痛与原因不明的疼痛.
主要方法:
- 关于儿科胸痛病因的综合文献综述.
- 对诊断标准和临床检查结果的分析.
- 评估新兴的治疗方式,包括精神病和基于正念的干预措施.
主要成果:
- 肌肉骨胸部疼痛是儿童最常见的非心脏病原因.
- 准确的诊断需要详细的病史,体检,以及潜在的心电图和实验室测试.
- 没有可识别的原因的胸痛可能表明体化,受益于精神病学评估.
结论:
- 提供者必须区分良性肌肉骨胸痛和未被诊断的原因.
- 客观的身体发现或可信的病史对于诊断肌肉骨胸痛至关重要.
- 像正念这样的新兴干预措施可能有利于患有体化相关的胸痛的儿童.
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