肋间神经痛辨别诊断(国外英文资料).docVIP

肋间神经痛鉴别诊断(国外英文资料) Intercostal neuralgia refers to the recurrent pain of one or several intercostal nerves. There is an increase in seizures, sometimes triggered by breathing, aggravated by coughing and sneezing. When the pain is severe, it can be radiated to the same shoulder or back, sometimes in a belt. Inspection can be found corresponding the hyperesthesia and corresponding frame edge tenderness of the skin area, after wearing out of the intervertebral foramen intercostals nerve in the back, chest wall, especially chest in the source. Some patients can find the corresponding symptoms and signs of various primary lesions. It is one of the causes of chest pain common in older people. ????? According to the cause of pathogenesis, the intercostal nerve pain is divided into primary and secondary intercostal neuralgia. The cause of infection or toxicity is rare in the primary intercostal neuralgia. Most of them are caused by adjacent organs and tissue pathological changes caused by thoracic nerve stimulation, oppression, such as: pleurisy, chronic lung inflammation, aortic aneurysm, thoracic vertebra degeneration, thoracic tuberculosis, thoracic injury, hard thoracic spinal meningitis, senile spinal diseases like osteoarthritis. ????? Therefore, the pathological pattern of the root intercostal neuralgia is present. The intercostal neuralgia is usually diagnosed by symptoms, and the common x-rays are only useful for differential diagnosis. In the case of secondary intercostal neuralgia, there is a need for chest X-ray, thoracic X-ray, and waist. In addition, it is necessary to do B hypercardiogram examination to eliminate liver, cardiovascular and pulmonary diseases. ?? Clinical manifestation: ????? Pain is characterized by a tingling or burning pain in the direction of an intercostal nerve, and the pain intensifies when coughing, sneezing, and deep breathing. ????? The pain range is restricted to the area of the intercostal nerve area, which is more than 5 to 9 inter