这位医生胸痛了一年多,谜底解开时,他简直不敢相信,附自查

2016-10-21 蔡飞跃医生 港大全科蔡飞跃

生活中,有太多人被胸痛困挠了,折磨到胸痛、心也“痛”,整天寝食难安、郁郁寡欢。今天,我们来庖丁解“痛”。1 胸痛了一年多的医生9月中旬的一天,我在全科15号诊室坐诊。一个30多岁的年轻人带着大包小包走了进来。“蔡医生,我也是医生,今年37岁。胸痛一年多了。”“我是看了你的全科公众号,特意从惠州过来找你看的。”“到几个医院看了,心电图、心脏彩超、胸部X检查、CT、MRI、甚至PET-CT等能做的

生活中,有太多人被胸痛困挠了,折磨到胸痛、心也“痛”,整天寝食难安、郁郁寡欢。今天,我们来庖丁解“痛”。

 

1 胸痛了一年多的医生

 

9月中旬的一天,我在全科15号诊室坐诊。一个30多岁的年轻人带着大包小包走了进来。

 

“蔡医生,我也是医生,今年37岁。胸痛一年多了。”

 

“我是看了你的全科公众号,特意从惠州过来找你看的。”

 

“到几个医院看了,心电图、心脏彩超、胸部X检查、CT、MRI、甚至PET-CT等能做的检查都检查了,该做的化验也做了,没有查出什么病。”

 

“吃了药,没有什么作用,胸痛反还是反反复复,让我睡不着吃不香,天天焦虑烦躁。”

 

 

“你自己是医生,看了那么多专家。没必要大清早地从惠州到深圳看病。”我诚恳地对这位姓华的医生说。因为在我心里,每个医生都是好医生,都会想方设法地帮助病人,战胜疾病。他不需要到港大找我,太浪费时间、精力和金钱了。

 

“我看了几个医院的专家了,结论不一,我自己也搞不清楚。你是全科医生,医学知识更全面,我需要你全面地帮我看看”。他着急地说。

 

“全科医生不是看疑难杂症的,主要看常见病多发病。您太抬举我们了!”

 

就因为公众号上的几句“自吹自擂”,让他那么老远赶来,我实在是有点不好意思,赶紧认真起来,和他仔细分析病情。

 

“你什么时候开始胸痛的?”“胸痛的性质?频率?胸痛的诱因?持续时间?”“有没有胸闷?咳嗽?反酸?”“胸痛什么时候会消失?”......

 

我详细地问华医生的病史和疾病发展过程。病人也是医生,他能理解我的医学术语,问诊很顺利。

 

“一年半前就开始无原无故地疼痛。一阵一阵的痛,隐隐地痛,偶尔刺痛……有时转身会痛,向右侧躺时也会痛。疼痛没有规律,也没有胸闷、咳嗽、反酸。”

 

仔细问诊后,我又仔细地进行体格检查。医生都知道要重视病史和查体,因为诊断准确率最高的并不是高端仪器设备检查,而是详细的病史和仔细的查体。

 

我又看了华医生带来的一大袋子检查、化验单,前前后后花费了20多分钟。

 

最后,我将自己的诊断告诉了华医生。

 

华医生听了我的结论,一下愣住了,嘴巴长得老大,嘴里半信半疑地念叨:“不会吧?!”“这么简单!”“怎么会是这样呢?”

 

我将他胸痛的原因从解剖学、病理、生理方面进行了详细的解释,并耐心告诉他治疗的方法和锻炼注意事项。

 

9月28日,华医生在我的公众号留言:“蔡医生,感谢你!胸痛好多了,基本不痛了。”

 

他强烈建议我将他的胸痛经历写成科普文章,帮助那些有胸痛的病人,减轻他们的痛苦。我答应了他的请求,因为不少人有这种胸痛的经历。

 

为了让科普文章更加科学准确,我查了几天的医学文献,才落笔写出来与大家分享。

 

华医生到底患了什么病?为什么胸了一年多,那么多高级检查都没有查出来呢?

 

2 先来撸一撸胸痛都有哪些原因?

 

 

胸痛的原因很多很多。

 

心血管病:比如冠心病、心肌梗死、心肌炎、心包炎...会导致胸痛。
呼吸病:比如肺炎、气胸、胸腔积液、肺栓塞...会导致胸痛。
消化病:比如食管炎、胃酸反流、胆囊炎...会导致胸痛。
带状疱疹会导致胸痛。
......


研究表明:胸痛的主要原因不是心脏病(只占16%)、不是肺部疾病(5%)、不是食管消化道疾病(19%),最常见的胸痛是胸壁肌肉骨骼疾病(36%)。

 

3 肌肉骨骼性胸痛又是个什么鬼?

 

折磨了我们华医生一年多的胸痛,就属于肌肉骨骼性胸痛的一种,具体叫胸肋软骨炎。

 

通俗地说,肌肉骨骼性胸痛是胸壁肌肉、骨骼疾病导致的胸痛,不是心脏肺脏疾病引发的疼痛,不是胸部里面的内脏痛,只是包着胸部外围的皮肉骨头在痛!

 

它包括了很多种情况:胸肋软骨炎、肋胸综合征、前胸壁综合征、肋骨骨折、胸肌劳损等。而最常见的就是华医生这种——胸肋软骨炎。

 

我们普通老百姓怎么判断是不是这种“外围”胸痛呢?

 

一般来说,这种痛有以下特点:
1)隐痛、或拉扯样痛;
2)深呼吸、咳嗽、举臂、弯腰等活动时疼痛加重;
3)痛位置固定,能找到明显压痛点;可以持续几周甚至几个月。


4 我是怎么发现华医生胸痛真相的?

 

警告!

即将进入医学教学环节

可能引致烦躁不安

吃瓜群众

请自觉撤离!

 

首先要提醒一下。尽管心脏、肺脏疾病不是胸痛的常见原因,然而是最危险、最严重的疾病,我们在诊断胸痛时一定不能忽略!要有足够证据排除心肺纵膈血管等严重疾病。

 

诊断肌肉骨骼性胸痛有哪些依据?

 

通常有以下4点:
1)病史、胸痛特点;
2)找到肌肉、骨骼疼痛点;
3)适当的辅助检查;
4)排除心肺血管等严重疾病。

 

华医生已经做了心脏CT、24小时心电图、胸部MRI、全身PET-CT、胸部X检查、肝胆脾胰彩超等,还有全套的血生化检验如血常规、肝肾功能、甲状腺功能、心肌酶等等。

 

这些检查检验都没有严重异常。

 

正是基于这些检查结果,我排除了肿瘤、心肺等严重疾病。

 

之后,结合华医生的胸痛特点,结合体格检查,我最终分析是肌肉骨骼性胸痛,诊断胸肋软骨炎。


以下3个动作检查:

 

可以再现胸壁肌肉疼痛,寻找疼痛点,帮助医生诊断。


水平手臂屈曲牵拉手法

(右侧医生,左侧病人)


公鸡报晓手法(医生站在病人背后)

 

“挂钩”手法(病人平躺)


5 怎么治疗肌肉骨骼性胸痛?

 

1)详细解释病因消除病人焦虑情绪,安抚和鼓励病人。这点很重要,肌肉骨骼性胸痛病情长,常常导致病人焦虑不安,给其心理带来严重伤害。

 

2) 物理治疗疼痛点热敷,艾灸(注意不要烫伤)、按摩推拿等。

 

3)局部用药物扶他林乳胶、活络油、红花油,辣椒膏、止痛膏等。

 

4)抗炎止痛药如对乙酰氨基酚片、芬必得等。需要在医生的指导下使用。

 

5) 肌肉拉伸、协调性运动最安全又不用花钱、又没有副作用的、最好的方法!

 

以上,就是我总结的一些心得:找准病因,树立信心,锻炼身体!


有了这些“法宝”,胸痛就能迎刃而解,希望对你也有帮助!

 

 

参考文献:
1 Klinkman MS, Stevens D, Gorenflo DW. Episodes of care for chest pain: a preliminary report from MIRNET. Michigan Research Network. J Fam Pract 1994; 38:345.
2 Klinkman MS, Stevens D, Gorenflo DW. Episodes of care for chest pain: a preliminary report from MIRNET. Michigan Research Network. J Fam Pract 1994; 38:345.
3 刘文俊、邱泰源、李孟柱. 台湾家庭医师临床手册.(第三版).台北:2013.台湾家庭医学协会
4 Murtagh J.全科医学.梁万年,译.第4版.北京:人民军医出版社,2010.
5 Up To Date 临床顾问 http://www.uptodatechina.com/(年费制 蔡飞跃医生已付费 )
6 祝善珠.全科医生临床能力培养.北京:人民卫生出版社,2012
7 Mark C.Henderson,Lawrence M.Tierney,Jr.Gerald W.Smetana.全科医生鉴别诊断.刘尚勤、胡家美、陈中山.译.北京:人民军医出版社,2014
8 曾学军、沙悦、黄晓明.内科临床思维基本功释例.第1版.北京,中国协和医科大学出版社.2013

 

 

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    2016-11-27 玉笏三郎

    领教啦

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    2016-11-10 1dedfe95m66(暂无匿称)

    好文章?

    0

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    2016-10-30 wusj120

    牵拉痛,体位相关,第一反应就是胸壁肌肉问题啊

    0

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    2016-10-24 派哥哥

    学习了,看看超声能否发现一些线索。

    0

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    2016-10-23 Eradicate

    good

    0

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    2016-10-23 cqykthl

    高手之高高手

    0

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    2016-10-22 林祎

    我也有哎~有时胸部拉扯时会痛

    0

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    2016-10-22 xiehhtt

    不错,点赞

    0

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    2016-10-21 1e128d2fm65(暂无匿称)

    原来是肋软骨炎

    0

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