chest tightness
Introduction
Introduction Chest tightness chest distress is a subjective feeling that breathing is not enough or gas is not enough. If the light person has nothing to do, the heavy one feels uncomfortable. It seems that the stone is pressed against the chest and even breathing difficulties occur. It may be a functional manifestation of a body organ or it may be one of the earliest symptoms of a disease in the human body. People of different ages have chest tightness, the cause is different, the treatment is different, and the consequences are different.
Cause
Cause
Causes chest tightness
First, functional chest tightness
(ie, chest tightness without organic lesions): People stay in a room with closed doors and windows, airless circulation, or encounter some unpleasant things, even with other people's squabbles, disputes, or low pressure. In the climate, there is often a feeling of chest tightness and fatigue.
Second, pathological chest tightness
1. Respiratory obstruction: long-term tumor in the tracheobronchial, tracheal stenosis, tracheal external pressure (gothal enlargement, mediastinal long tumor);
2. Pulmonary diseases: emphysema, bronchitis, asthma, atelectasis, pulmonary infarction, pneumothorax;
3. Heart disease: some congenital heart disease, rheumatic valvular heart disease, coronary heart disease, cardiac tumor;
4. Diaphragmatic lesions: diaphragmatic swelling, diaphragmatic paralysis;
5. Body fluid metabolism and acid-base balance disorders.
Examine
an examination
Related inspection
Organocardiography dynamic electrocardiogram (Holter monitoring) pulmonary impedance blood flow map Amato sputum sputum immunological examination
First, functional chest tightness: After a short break, open window ventilation or to breathe fresh air outside, relax, adjust mood, and soon return to normal. Chest tightness like this can be said to be functional chest tightness, no need to be nervous, and no treatment.
Second, pathological chest tightness: pathological chest tightness can occur suddenly, but also slowly. Most of the sudden occurrences are due to acute traumatic or spontaneous pneumothorax, acute asthma, acute exacerbation of acute endotracheal heart disease, and acute pulmonary infarction. Slow chest tightness is aggravating symptoms as the disease progresses. Most cases of chest tightness in children suggest congenital heart disease or mediastinal tumor; young people with chest tightness mostly suggest spontaneous pneumothorax, mediastinal tumor, rheumatic valvular heart disease; elderly patients with chest tightness mostly suggest emphysema, coronary heart disease Wait.
For pathological chest tightness, attention must be paid to avoid delaying the necessary treatment. Patients should go to the hospital for chest fluoroscopy, electrocardiogram, echocardiography, blood biochemistry, and lung function tests for further diagnosis by the clinician.
Diagnosis
Differential diagnosis
Congestive symptoms of chest tightness:
Pregnant women with chest tightness and shortness of breath: After pregnancy, there may be chest tightness and shortness of breath, feeling uncomfortable and uncomfortable. It is a normal phenomenon to rule out the heart problem.
Young women have palpitations: the most common factor is psychological factors, which are mainly caused by unpleasant emotions such as depression and lust. Also related to the level of sex hormone secretion. There are also pathological factors such as myocarditis and autonomic dysfunction.
There are many reasons for chest tightness and suffocation. It may be a functional manifestation of body organs, or it may be one of the earliest symptoms of human diseases, most commonly due to heart and lung diseases.
Cardiac chest tightness - characterized by chest tightness after exhaustion, difficulty breathing, or paroxysmal dyspnea at night, patients can wake up from sleep, see pulmonary congestion, heart failure in patients with heart disease. Chest tightness can also be coronary heart disease An expression of angina during ischemia.
Chest pain accompanied by chest tightness, palpitations, at the same time or before, fever, body aches, sore throat, diarrhea and other symptoms, can be seen in acute myocarditis.
Functional chest tightness: After a short break, open window ventilation or fresh air outside, relax and adjust mood, you will soon return to normal. Chest tightness like this can be said to be functional chest tightness, no need to be nervous, and no treatment.
Pathological chest tightness: pathological chest tightness can occur suddenly or slowly. Most of the sudden occurrences are due to acute traumatic or spontaneous pneumothorax, acute asthma, acute exacerbation of acute endotracheal heart disease, and acute pulmonary infarction. Slow chest tightness is aggravating symptoms as the disease progresses. Most cases of chest tightness in children suggest congenital heart disease or mediastinal tumor; young people with chest tightness mostly suggest spontaneous pneumothorax, mediastinal tumor, rheumatic valvular heart disease; elderly patients with chest tightness mostly suggest emphysema, coronary heart disease Wait.
For pathological chest tightness, attention must be paid to avoid delaying the necessary treatment. Patients should go to the hospital for chest fluoroscopy, electrocardiogram, echocardiography, blood biochemistry, and lung function tests for further diagnosis by the clinician.
