Etiology of Chest Pain in Children

Öz

Objective: We aimed to examine the etiology of chest pain in children and to clarify the most common causes in this study. Material and Methods: A total of 603 patients who applied to our hospital with chest pain between December 2010 and July 2011 were retrospectively reviewed.results: The female and male percentages of the study group were 46.8% and 53.2% respectively. The mean age of the patients was 11.8 ± 2.7 years. The etiology of the chest pain was related to the musculoskeletal system in 46.9%, the cardiovascular system in 17.5%, the respiratory system in 5.1%, and the gastrointestinal system in 3.3% and was psychogenic in 3%. No etiology was found in 21.4% of the patients and they were considered to be idiopathic. Other diagnoses such as connective tissue disease, Marfan syndrome, breast swelling and herpes zoster were present in 2.8% of the patients and these were classified as miscellaneous.conclusion: Chest pain in children should be investigated carefully

Anahtar Kelimeler

• Children, Etiology, Chest pain

Göğüs Ağrısı Yakınması ile Başvuran Çocukların Etiyolojik Açıdan Değerlendirilmesi

Öz

Amaç: Hastanemize göğüs ağrısı yakınması ile başvuran çocukların etiyolojik açıdan incelenmesi ve en sık karşılaşılan sebeplerin belirlenmesi hedeflenmiştir.Gereç ve Yöntemler: Çalışma kapsamında hastanemize Aralık 2010 ile Temmuz 2011 tarihleri arasında göğüs ağrısı yakınması ile başvuran 603 olgu geriye dönük olarak incelendi.Bulgular: Çalışma grubundaki hastaların %46.8’i kız, %53.2’si erkekti. Hastaların yaş ortalaması 11.8 ± 2.7 (5.5–18) yıldı. Hastaların %46.9’unda kas iskelet sistemi, %17.5’inde kardiyovasküler sistem, % 5.1’inde solunum sistemi, %3.3’ünde gastrointestinal sistem, %3’ünde psikojenik nedenli göğüs ağrısı tespit edildi. %21.4’ünde ise göğüs ağrısının nedeni bulunamadı ve idiyopatik göğüs ağrısı olarak değerlendirildi. Hastaların %2.8’inde göğüs ağrısının nedeni kollajen doku hastalığı, Marfan sendromu, meme büyümesi ve zona gibi diğer nedenlere bağlandı.Sonuç: Çocuklardaki göğüs ağrısının ayrıntılı araştırılması gerekliliği sonucuna varılmıştır.

Anahtar Kelimeler

• Çocuklar, Etiyoloji, Göğüs ağrısı

Kaynakça

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