26.durerea Toracica

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DUREREA TORACICA:

Etiopatogenie

A. Dureri de origine toracica 1. Parietale (mialgia, nevralgia intercostala, zona Zoster,


Sdr Tietze, Mielom multiplu, osteosarcom) 2. Traheobronsice (traheite, bronsite) 3.
Pleurale (pleurita, pleurezie, pneumotorax) 4. Pulmonare (pneumonia,
bronhopneumonia, abcesul pulmonar, embolia pulmonara, cancerul pulmonar) 5.
Diafragmatice (pleurezia diafragmatica, hernia diafragmatica) 6. Esofagiene: (esofagita
de reflux, cardiospasm, esofagita flegmonoasa, cancerul esofagian) 7. Mediastinale
(emfizem mediastinal, mediastinita, anevrism disecant de aorta, cancerul mediastinal) 8.
Cardiace: angina pectorala, angina instabila, IMA, Prolaps de valva mitrala.
B. Dureri de origine extratoracica 1. Abdominale: UGD, colica biliara, hernie
diafragmatica, pancreatita acuta; 2. Articulare: periartrita scapulohumerala, spondiloza
cervico-dorsala, spondilita; 3. Psihice: Sdr Da Costa.

Particularitatile durerii toracice:

- localizare: precordial (miocardite, pericardite), retrosternal (angina pectorala, IMA,


esofagita de reflux, cardiospasm, mediastinite), in centura (nevralgie intercostala, zona
Zoster), la baze (pleurezie, pneumotorax, hernie diafragmatica, la varfuri (spondiloza
cervicala, periartrita scapulo-humerala, cancer ).
- caracter: constrictiv (gheara): angina pectorala, IMA ; violent (embolie pulmonara,
Pneumotorax, anevrism disecant de Aorta, IMA), arzator (Zona Zoster), surd
(mediastinite), intepator (nevroze cardiace) ; iradiere: in bratul stang: (angina pectorala,
IMA), in umar (colica biliara, periatrita scapulo-humerala, IMA), abdominal (anevrism
disecant de Aorta, IMA).
- context: dupa efort (angina pectorala), dupa alimentatie (esofagita, gastrita, hernie
diafragmatica), infectii respiratorii (pneumopatii acute), expunere la frig (nevralgii,
miozite, radiculite).
- debut: brusc (IMA, embolie pulmonara), progresiv (cancer, pneumonie).

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