反复胸闷胸痛伴心理精神障碍的诊疗进展.pdfVIP

进展述评 反复胸闷胸痛伴心理精神障碍的诊疗进展 毛慧子① 陶贵周①。 摘要：近年来，临床中关于反复胸闷胸痛患者的较高误诊率引起了广大医务工作者的重视，此类患者伴有的心理精神障碍 往往被忽视，得不到合理的治疗，预后较差。本文主要讨论关于反复胸闷胸痛患者病因的鉴别、心理精神障碍引起胸闷胸 痛的机制、胸闷胸痛与心理精神障碍的关系、“双心”医学诊疗模式以及反复胸闷胸痛的治疗进展，通过增强临床医生对 “双心”医学的认识降低胸闷胸痛患者的误诊率、漏诊率，减少过度治疗，通过心血管医学和心理干预联合治疗，改善心血 管疾病患者的预后、降低死亡率。 关键词：胸闷胸痛，心理精神障碍，“双心”医学 中图分类号：R541．4，R493文献标识码：A 文章编号：1002～0772(2014)02一0048一05 The in andTreatmentof Chest orChestPainwith DisordersMAOHui— ProgressDiagnosis RepeatedTightness Psychological zi，TA0 First Medical Gui—zhou．DepartmentofCardiology，theA。ffiliatedHospitalofLiaoning University， Jinzhou121001。China Abstract：Recent of chest orchest arousedmoreattentiontomedical years，themisdiagnosisrepeatedtightness pain workers．These with disorderswhich be unreasonable patientsmaybealong psychological alwaysneglected，with treatment。leadto articlefocusesonthedifferential mechanismof prognosis．This diagnosis，the psychological poor orchest between chest orchest with disorders chest pain causingtightness pain，therelationshiprepeatedtightness medical clinician+S psychologicaldisorders。psych—cardiologymode．Byenhancing knowledge medical reducetherateof in withchest orchest excessive misdiagnosispatients tightness pain，the treatment，through cardiovascularmedicineand interventiontreatment，itwill the ofcardiovascular joint psychological improveprognosis disease，reducemortality． Words：chest orchest