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您的胸骨或胸骨，将肋骨的两侧连接在一起。它位于胸部和肠道的许多主要器官面前，包括你的心脏，肺和胃。因此，许多不一定与胸骨有任何关系的条件可能会导致胸骨和周边地区的疼痛。
Your first reaction to chest pain, especially severe or consistent chest pain, may be to think it’s a heart attack. But in many cases, chest pain has nothing to do with your heart. This is especially true if you’re under age 40 and don’t have any serious health issues or existing conditions.
Sternum pain is actually more likely caused by conditions that have to do with your muscles, your bones, or your digestive tract than with your heart or the sternum itself.
继续阅读以了解胸骨疼痛的最常见原因以及你应该看到你的医生。
胸骨疼痛最常见的原因是一个叫做的条件costochondritis。This occurs when the cartilage that connects your ribs to your sternum becomes inflamed.
Costochondritis的症状包括：
- 胸骨区域侧面尖锐或疼痛
- pain or discomfort in one or more ribs
- pain or discomfort that gets worse when you cough or breathe in deeply
Costochondritis doesn’t always have a specific cause, but it’s most often a result of a chest injury, strain from physical activity, or joint conditions likeosteoarthritis。Costochondritis不是一个严重的条件，不应该让你担心。
See your doctor if the pain persists or if you have other symptoms that might indicate a more serious underlying condition.
胸骨周围肌肉和骨骼的病症也可能导致胸骨疼痛。
这包括：
- 联合伤害
- 锁骨（锁骨）伤害
- 骨折
- 疝
- surgery on the sternum (such as open heart surgery)
这些不是可能使你的胸骨伤害的唯一肌肉骨骼条件，但它们是最常见的。
胸饲性关节损伤
胸骨般的关节（SC接头）将胸骨顶部与锁骨（锁骨）连接。这种关节的伤害会导致胸骨的疼痛和不适，并且在这个关节存在的上胸中的区域中。
Common symptoms of injury to this joint include:
- 感到轻微的疼痛或围绕你的上胸部和锁骨区域疼痛和肿胀
- hearing pops or clicks in the joint area
- 在关节周围感到僵硬或无法完全移动你的肩膀
锁骨创伤
The collarbone is directly connected to your sternum, so injuries, dislocation, fractures, or other trauma to the collarbone can affect the sternum.
锁骨创伤的常见症状包括：
- bruises or bumps around area of collarbone injury
- intense pain when you try to move your arm upwards
- swelling or tenderness around collarbone area
- 当你抬起手臂时，弹出，点击或磨损噪音
- abnormal frontward sagging of your shoulder
Sternum fracture
压裂你的胸骨会导致很多疼痛，因为你的胸骨参与了许多上半身的运动。这种伤害通常是由胸部猛烈伤害引起的。其中的示例包括您在车祸中收紧的安全带或胸部在您正在演奏运动或进行其他高冲击身体活动时击中。
常见的症状包括：
- pain when you breathe in or cough
- difficulty breathing
- 移动手臂时弹出，点击或磨损噪音
- 在胸骨上肿胀和温柔
肌肉菌株或疝气
Pulling or紧张肌肉在你的胸口会导致胸骨周围的疼痛。
拉肌的常见症状包括：
- 拉肌周围的痛苦
- 使用受影响的肌肉时不适
- 受影响的肌肉周围的瘀伤或压痛
A疝也可以引起胸骨疼痛。当器官从通常坐在身体附近部分的区域被推开或拉动时，疝气发生。
最常见的种类是疝气疝气。当你的胃在胸腔上移动到胸腔时，就会发生这种情况。
常见的症状hiatal hernia包括：
- frequent burping
- 胃灼热
- 吞咽困难
- feeling like you ate too much
- 呕吐血液
- 有黑色粪便
你的胸骨坐在几个主要的消化器官面前。影响你的食管，胃和肠的病症都可以引起胸骨疼痛。膳食后患有胃灼热或酸反流是胸骨疼痛最常见的胃肠道原因。
胃灼热
胃灼热当酸胃中渗透到你的食管中时会发生并导致胸痛。吃完之后很常见。当你躺下或向前弯曲时，疼痛通常会变得更糟。
胃灼热通常在短时间内没有治疗。
Check out: Post-meal tips to ease heartburn »
Acid reflux
酸反流是相似的胃灼热，但是在胃酸或甚至在你的胃中开始打扰或磨掉食管衬里的东西。它可以是致力于慢性病的一部分胃食管反流病。
Symptoms of acid reflux include:
- burning in your chest
- 嘴里的异常苦味
- 吞咽困难
- coughing
- 喉咙疼痛或嘶哑
- 感觉你在喉咙里有一个肿块
影响肺部，气管（气管）和身体其他部位的条件，帮助您呼吸呼吸会导致胸骨疼痛。
Pleurisy
Pleurisy当你的胸膜发炎时会发生。胸膜由胸腔内的组织和肺部周围组成。在某些情况下，流体可以在该组织周围积聚。这称为胸腔积液。
常见的症状包括：
- 当你呼吸，打喷嚏或咳嗽时剧烈疼痛
- feeling like you can’t get enough air
- an abnormal cough
- 发烧（在极少数情况下）
支气管炎
支气管炎happens when the bronchial tubes that bring air into your lungs become inflamed. It often happens when you get the flu or a cold.
随着你呼吸，支气管炎疼痛也可以让你的胸骨受伤。它可以简单地持续（急性支气管炎) or become a long-term condition (慢性支气管炎）由于吸烟或感染。
常见的支气管炎症状包括：
- 持久湿咳，导致你吐粘液
- wheezing
- difficulty breathing
- 胸部疼痛或不适
Flu or cold symptoms that can go along with bronchitis include:
- 高烧
- 疲惫
- runny nose
- 腹泻
- 呕吐
Pneumonia
Pneumonia当你的肺部受到病毒或细菌感染时发生的事情。
Common symptoms of pneumonia include:
- difficulty breathing
- 高烧
- persistent cough
Other conditions that affect your gastrointestinal tract or your chest muscles can cause sternum pain.
胃溃疡
A stomach ulcer (消化性溃疡)当你得到一个痛的衬你r stomach or at the bottom of your esophagus.
Symptoms of a stomach ulcer include:
- stomach pain, especially on an empty stomach, that responds to antacids
- 感到臃肿
- nausea
- 食欲不振
惊恐发作
A惊恐发作happens when you suddenly feel fear, as if something dangerous or threatening is happening, with no actual reason to be afraid. It’s often a result of stress or a symptom of mental health conditions, such asgeneralized anxiety disorder要么沮丧。
恐慌攻击的症状包括：
- feeling like something bad is about to happen
- 感到头晕目眩或壮大
- 呼吸或吞咽困难
- 出汗
- 感觉交替冷热
- 胃痉挛
- 胸痛
胸骨疼痛有时可能是a的结果heart attack。如果您在40岁以下或整体健康状况下，这就不太可能。如果你超过40岁并具有现有病症，那么它们更可能发生，如心脏病。
A heart attack is life-threatening. You should go to the emergency room right away if you have any symptoms besides sternum pain that may indicate a heart attack, especially if they appear without any obvious cause or if you’ve had a heart attack before.
- 胸部中间或左侧的胸痛
- 你的上半身疼痛或不适，包括你的手臂，肩膀和下巴
- 感到头晕目眩或壮大
- having trouble breathing
- 出汗
- nausea
你拥有的这些症状越多，你的心脏病发作就越有可能。
See your doctor right away if you have heart attack symptoms or symptoms that cause you sharp, consistent pain that gets in the way of your daily life.
You should also see your doctor if you have any of the following symptoms:
- sternum and general chest pain that has no obvious cause
- 出汗, dizziness, or nausea with no specific cause
- trouble breathing
- 在整个上半身的胸部蔓延的疼痛
- chest tightness
If you’re experiencing other symptoms and they last for more than a few days, talk to your doctor.
You can find a primary care doctor near you through the雷竞技app官网Healthline FindCare工具。
你的下一步依赖于可能导致胸骨疼痛的情况以及这种情况的严重程度。
您可能只需要接受反击疼痛药物或改变您的饮食。但如果潜在的条件更严重，你可能需要长期治疗。在某些情况下，您可能需要手术治疗心脏或胃肠环境。
一旦您的医生诊断了原因，他们就可以开发一种可以帮助缓解胸骨疼痛的症状和原因的治疗计划。