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临床资料:本组5例均为男性离休干部,年龄63～76岁,平均67岁。5例一般情况均可,皆有胸前区疼痛,其中1例伴背部疼痛,但无明显心悸、气短等症状。心电图检查:1例可见ST—T 改变,1例V_1T>V_5T,余3例大致正常。出疹时间:最短2d,最长16d,平均8d。误诊时间:1～5d,平均2d。5例均皮肤科会诊后确诊,其中典型带状疱疹1例,顿挫型带状疱疹4例,均按常规治疗痊愈出院。误诊分析:1 对带状疱疹认识不足:该病多发于春秋两季,成人多见,尤其老年患者疱疹尚未出现或表现为顿挫型带状疱疹时,往往以胸痛为主诉至内
Clinical data: This group of 5 patients are male retired cadres, aged 63 to 76 years, mean 67 years. 5 cases can be general, both chest pain, including 1 case of back pain, but no obvious heart palpitations, shortness of breath and other symptoms. ECG: 1 case of ST-T changes can be seen, 1 case of V_1T> V_5T, more than 3 cases were generally normal. Rash time: the shortest 2d, the longest 16d, an average of 8d. Misdiagnosis time: 1 ~ 5d, an average of 2d. Five cases were diagnosed after dermatology consultation, including a typical case of shingles, frustrated shingles in 4 cases, according to conventional treatment were discharged. Misdiagnosis analysis: a lack of awareness of herpes zoster: the disease occurs in spring and autumn, more common in adults, especially in elderly patients with herpes has not yet appeared or showed frustrated shingles often complained of chest pain mainly