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我们遇到三例长期被误诊为冠心病心绞痛的肋骨、软骨连接处综合征病人,现报告如下: 例1:男性,63岁。因反复胸闷、心前区痛三年余,于1990年7月19日第八次入院。三年来时有心前区痛、伴胸闷气急,持续数分钟至数小时,含服硝酸甘油效果不佳,发作多在入唾前,而与运动、情绪激动关系不大。自1988年5月以来先后七次因此而入院,均诊断为冠心病、心绞痛。无高血压史。体检未见心肺异常。左第四肋骨、软骨连接处压痛。心电图、超声心动图、心脏X线摄片均正常。踏车运动试验阴性。入院后胸痛反复发作,但心电图无异常改变。三次24小时动态心电图仅记录到
We encountered three cases of ribs that have been misdiagnosed as coronary heart disease angina, cartilage junction syndrome patients are reported as follows: Example 1: Male, 63 years old. Due to repeated chest tightness, heart pain in front of more than three years, on July 19, 1990 the eighth admission. Three years ago when there is pain in front of the heart, chest tightness and shortness of breath, sustained a few minutes to several hours, sublingual nitroglycerin ineffective, seizures and more in the spit before, and with exercise, little emotional agitation. Since May 1988 has been so seven hospitalizations, were diagnosed with coronary heart disease, angina. No history of hypertension. Physical examination did not find heart and lung abnormalities. Left fourth rib, tenderness at the junction of the cartilage. ECG, echocardiography, cardiac X ray were normal. Treadmill exercise test negative. Recurrent chest pain after admission, but no abnormal ECG changes. Three 24-hour Holter records only