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目的了解以胸痛为首发症状的带状疱疹临床特点、诊断。方法对南京军区南京总医院相关科室2000-02-2008-02收治的99例带状疱疹患者临床资料回顾性复习。结果其中27例因首发症状为胸痛,初诊被误诊为冠心病心绞痛,误诊率27.3%。结论以胸痛为首发症状的带状疱疹极易误诊为冠心病心绞痛,正确的诊断是拓宽知识面,提高认识,对于发生在前胸、左肩背部疼痛,沿单侧神经放射痛,胸痛时无相应心电图改变者,应想到带状疱疹。
Objective To understand the clinical features and diagnosis of herpes zoster with chest pain as the first symptom. Methods A retrospective review was performed on the clinical data of 99 cases of shingles admitted to the relevant department of Nanjing General Hospital of Nanjing Military Region from February 2000 to February 2008. Results Of 27 cases, the first symptom was chest pain. The first visit was misdiagnosed as angina pectoris. The misdiagnosis rate was 27.3%. Conclusions Herpes zoster, the first symptom of chest pain, can be easily misdiagnosed as angina pectoris. The correct diagnosis is to broaden the knowledge and raise awareness. There is no corresponding response to chest pain in the anterior chest and left shoulder, ECG changes should think of shingles.