Left chest pain

Introduction Left chest pain is a common symptom in the emergency department. It is usually caused by cardiovascular, respiratory, and pleural diseases. The severity of chest pain does not necessarily have a definite relationship with the cause of chest pain. Chest pain is a common clinical symptom, and there are many reasons, and the location and severity of chest pain are not necessarily consistent with the location and severity of the lesion. Trauma, inflammation, tumors and certain physical and chemical factors caused by tissue damage stimulate the intercostal nerve, phrenic nerve, spinal nerve root and vagus nerve are distributed in the esophagus, bronchus, lung, pleura, heart and aorta nerve shoots, can cause Chest pain.

Cause

There are many reasons for left chest pain. The pain caused by muscle bones is usually a neuropathy caused by sports injuries or trauma. This pain is usually related to posture. Cardiovascular disease, pneumonia, pleural disease cause left chest pain, and the back has a long bone spur to stimulate the chest nerves can also cause chest pain. Generally, left chest pain is related to the heart or respiratory system, but it is often caused by costal cartilage or ribitis, mainly caused by long-term or chest.

an examination

Related inspection

Chest CT examination of chest wall examination ECG coin slamming test

Cardiovascular disease is represented by angina pectoris and myocardial infarction, followed by pericarditis. This type of chest pain is often manifested in the precordial area and post-sternal compression, squeaky pain, and even tearing pain. Often radiated to the left shoulder, neck and the inside of the left arm, with severe symptoms of shock. Pneumonia, left chest pain, pleural diseases such as pleurisy, spontaneous pneumothorax, chest pain caused by these diseases are related to breathing and cough. Chest pain is aggravated during deep breathing and coughing, often accompanied by difficulty breathing. Chest pain is located on one side of the lesion. If you are not suffering from heart disease or bronchitis, pneumonia (which can be diagnosed by ECG and X-ray), the main cause of your left chest pain is likely to be costal cartilage or ribitis. Intercostal neuritis, herpes zoster, esophagitis can cause chest pain, severe chest pain in herpes zoster, walking along the intercostal space, skin intensive after 1 to 2 days, may also be a large pulmonary sac, a small amount of pneumothorax, it is recommended to further Do CT or MRI.

Differential diagnosis

Right chest pain is one of the symptoms of chest wall pain. Chest wall pain is also called musculoskeletal pain.

Coronary heart disease angina pectoris is the most common cause of chest pain. It is often caused by fatigue, full meal, and emotional arousal. Generally manifested as left chest compression pain, stuffy pain, dull pain and so on. It often spreads to the back, the inside of the left arm, the teeth, etc., and the duration varies, usually no more than 30 minutes. If the rest or oral nitroglycerin can be relieved after the attack, it can basically be diagnosed.

Pectoralis major muscle pain is generally aseptic inflammatory lesions in the pectoralis major muscle attachment, tension in the pectoralis major muscle, and soft tissue damage outside the spinal canal.

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