摘要
目的总结非器质性呼吸困难患者的急诊诊治经验。方法对2004-09～2006-06我院急诊科44例非器质性呼吸困难患者的诊治经过进行回顾性分析。结果44例患者均有不同程度的呼吸困难、焦虑、心悸、胸闷、头晕、麻木感、抽搐等症状,动脉血气提示pH>7.5,心电图提示窦性心动过速和部分患者ST-T改变。患者大多有情绪激动的诱因,经静脉应用安定镇静、抗焦虑等治疗可迅速缓解。结论随着现代社会身心压力的增大,非器质性呼吸困难患者明显增加,早期诊断及适当的治疗对迅速缓解症状、减轻患者的精神压力及避免过度医疗具有重要的临床意义。
Objective To summarize the experience in the diagnosis and treatment of 44 emergency patients with medically unexplained dyspnea who were admitted to the emergency department. Methods Retrospective analysis was performed in 44 patients, who were admitted to the emergency department of our hospital between September 2004 and June 2006. Result 44 patients had the following symptoms ： different degrees of dyspnea, anxiety, palpitation, chest distress, dizziness, numbness, convulsion and other symptoms of body and mind. Arterial blood gas analysis showed pH 〉 7.5, and ECG showed sinus tachycardia and ST - T changes in a part of patients. Intense emotion was inducement found in most patients. Those symptoms could be relieved rapidly after a therapy of diazepam. Conclusion At the present time, there are more and more medically unexplained dyspnea patients because of the pressure of body and mind. Early diagnosis and perfect therapy can relieve the symptoms rapidly and avoid over medical treatment.
出处
《中国急救医学》
CAS
CSCD
北大核心
2007年第3期278-280,共3页
Chinese Journal of Critical Care Medicine
关键词
呼吸困难
焦虑
碱中毒
急诊
Dyspnea
Anxiety
Respiratory alkalosis
Emergency
