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病例报告:一个心脏病发病的牙痛病例,具有长期的临床过程
Chizuko Maeda1, Takayuki Suga1, Kiyotoshi Oishi2
1Department of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Frontiers in pain research (Lausanne, Switzerland)
|October 30, 2025
概括
心脏相关的牙痛是罕见但严重的. 对于老年患者有不明原因的牙疼痛和胸部不适,特别是运动时,迅速进行心脏评估至关重要,以避免误诊和延迟治疗.
科学领域:
- 心脏病学 心脏病学
- 牙科 牙科是指牙科的专业.
- 引用的疼痛综合征
背景情况:
- 牙痛很少是心脏病理的症状,例如胸痛.
- 虽然大和喉疼痛是已知的参考疼痛部位,但孤立的牙痛是一种不常见的表现.
- 错误诊断心脏牙痛导致心脏治疗延迟和不必要的牙科干预.
研究的目的:
- 为了强调心脏起源对牙痛的意义.
- 强调牙医和内科医生需要提高对心脏转移性牙痛的认识.
- 介绍一个案例,说明心脏相关牙痛的诊断挑战和成功治疗.
主要方法:
- 一个76岁的妇女的病例报告,患有持续的牙疼痛和胸部不适.
- 综述了广泛的牙科和初步的心脏评估,这些评估并不显著.
- 先进的心脏成像显示严重的冠状动脉狭窄和左心室血栓,导致冠状动脉旁路移植和血栓切除.
主要成果:
- 患者持续的牙痛和胸痛最初被误诊为非典型的牙痛.
- 通过专业心脏成像实现了最终诊断,确定了严重的冠状动脉疾病和左心室血栓.
- 成功的手术干预 (Dor手术和冠状动脉旁路移植) 完全解决了牙痛和胸痛.
结论:
- 在老年患者中,持续的牙或牙疼痛与间歇性胸部不适,特别是在炼和缺乏牙发现时,应考虑心脏起源.
- 加快心脏成像对于预防诊断延迟和确保适当的心脏治疗至关重要.
- 需要进一步的研究和病例积累,以制定心脏指导的牙痛的诊断指南.
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