1, chest wall diseases
Pain in the middle part of chest caused by pathological changes of chest wall muscles, ribs and intercostal nerves. Its pain is characterized by being fixed at the lesion site and local tenderness is obvious. The soft tissue injury of chest wall is local pain and tenderness at the injury site; Intercostal neuralgia often presents paroxysmal burning claudication or tingling, distributed along ribs, with obvious tenderness beside spine, axillary midline and sternum. The chest pain caused by herpes zoster is quite severe and has nothing to do with respiratory cough. Herpes distributed along the nerve can be seen. Rib fracture, rib osteomyelitis and tumor rib metastasis may have localized tenderness, and the pain is aggravated when squeezing the chest.
2, lung and pleural lesions
Intermediate chest pain caused by lung and pleural lesions is characterized by breathing and cough, which is often aggravated by deep inhalation and cough. In addition, pleurisy stings, especially in the ribs with the largest thoracic expansion; Spontaneous pneumothorax and pleural hemorrhage are often accompanied by shortness of breath; Chest pain in pleural malignant tumor is persistent and severe, often accompanied by bloody pleural effusion; Lung disease-chest pain usually occurs when the pleura is involved, often accompanied by symptoms such as cough and expectoration.
3, cardiovascular system lesions
Cardiovascular diseases such as coronary heart disease, pericarditis, myocardial infarction and cardiac neurosis can also cause pain in the middle of the chest. The pain of angina pectoris in coronary heart disease is located in the posterior sternum or precordial area, and often radiates to the left upper limb. The degree of pain varies from mild oppression to severe colic, stabbing pain, knife-like pain and squeezing pain, which occurs every time after overwork, eating, emotional withdrawal or catching a cold.
4, digestive system lesions
The digestive system can directly or indirectly cause chest pain. For example, the pain of esophagitis and esophageal cancer is often located behind the sternum, showing persistent dull pain or dull pain; Aggravated when swallowing; Duodenal lesions may have pain in the lower sternum; Cholecystitis and gallstones can be seen in the right chest and scapular pain; Liver abscess often has pain in the right lower chest.
5, mediastinum, diaphragm and subphrenic lesions
There is intense pain under the sternum when mediastinal emphysema or mediastinitis occurs, which can be aggravated by swallowing; The pain of diaphragmatic hernia, diaphragmatic pleurisy and subphrenic abscess is generally located in the lower part of the chest and can radiate to the shoulders, back and thighs.
6. Anxiety and fear
The pain in the middle part of the chest caused by anxiety and fear is mainly manifested in chest pain and chest tightness, which may lead to frequent deep inhalation, rapid heartbeat, numbness and tingling of lips, arms and brain.
7. heartburn
Heartburn can be caused by gastrointestinal diseases, and patients mainly show burning pain in the chest, which is usually aggravated when bending over. Acid reflux and pain can be relieved by hiccups or antacids.
8, chest pain treatment
1. Psychophysiological therapy: For the treatment of heartache, it is important to relax, let yourself relax completely, stay happy every day, and don't have too much pressure.
2. Physical exercise: Physical exercise can adjust and improve the joy and inhibition process of the brain, regulate brain function, exercise for a long time, enhance physical fitness, innovate cardiovascular function, strengthen the regulation function of autonomic nerve, and contribute to the recovery of autonomic nerve function.