Chest Pain in Children

Utku Pamuk, Alper Gürsu
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Abstract

Chest pain is one of the most common reasons for admission to the emergency department, pediatrics and pediatric cardiology clinics in childhood. While pain is not usually caused by a serious cause, it can be of concern to the patient and their parents. Clinicians should inform the family of the benign nature of chest pain, unless they consider an important underlying cause. Routine referral of these patients to the cardiology department is not recommended, as it increases family and patient anxiety and may cause unnecessary evaluation. Chest pain can occur at any age, but its incidence increases after 10 years of age. The most frequent causes are costochondritis, chest wall muscle pain due to trauma or muscle strain and respiratory tract diseases. Cardiac reasons are rare with a prevalence of less than 6% and further diagnostic studies does not always necessary.
儿童胸痛
胸痛是儿童进入急诊科、儿科和儿科心脏病诊所的最常见原因之一。虽然疼痛通常不是由严重的原因引起的,但它可以引起患者和他们的父母的关注。临床医生应告知家属胸痛的良性性质,除非他们认为一个重要的潜在原因。不建议将这些患者常规转诊到心脏科,因为这会增加家庭和患者的焦虑,并可能导致不必要的评估。胸痛可以发生在任何年龄,但其发生率在10岁后增加。最常见的原因是肋软骨炎、外伤或肌肉劳损引起的胸壁肌肉疼痛和呼吸道疾病。心脏原因是罕见的,患病率低于6%,进一步的诊断研究并不总是必要的。
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