急性胸痛是急诊内科常见疾病之一,资料显示以急性胸痛为主诉的患者占急诊内科患者的5%~20%,三级医院占20%~30%。急性胸痛的病因多样,危险性差异较大,如急性冠状动脉综合征(ACS)、主动脉夹层、急性肺栓塞、张力性气胸等高危性急性胸痛的诊治要快速、果断,否则后果严重。急诊科医生必须保持高度的警惕性,对急性胸痛患者要做到快速鉴别并给予及时、正确、适当的处置。 Acute chest pain is one of the common diseases in emergency medicine. Data show that acute chest pain mainly accounts for 5% to 20% of emergency medical patients and tertiary hospitals account for 20% to 30%. The causes of acute chest pain are diverse and the risk varies greatly. The diagnosis and treatment of high-risk acute chest pain such as acute coronary syndrome (ACS), aortic dissection, acute pulmonary embolism, and tension pneumothorax should be rapid and decisive, otherwise the consequences may be serious. Emergency Department physicians must maintain a high degree of vigilance, rapid identification of patients with acute chest pain and give timely, correct and appropriate treatment.