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患儿,女,5岁,以气喘15分钟为主诉就诊。15分钟前在玩耍时受到家长斥责,随即出现气喘、呼吸急促、加快加深、过度换气、不能自制,来院急诊。 患女平素性格孤傲,感情脆弱,暗示性较强,无哮喘及过敏史,既往体健。 查体:体温36.2℃,呼吸47次/分,心率142次/分。神智清楚,精神紧张,喘息状态,面色苍白,两肺呼吸音清,未闻及于湿罗音,心、腹检查未见异常,手足发凉,双手微微颤抖。 初步诊断:情感性过度换气综合征。
Children, women, 5 years old, with 15 minutes of wheezing as the chief complaint. 15 minutes ago when playing by parents reprimanded, then appeared asthma, shortness of breath, speed up deepening, hyperventilation, can not be made to hospital emergency. Women suffering from ordinary alopecia, emotional vulnerability, strong suggestion, no history of asthma and allergies, previous physical health. Physical examination: body temperature 36.2 ℃, breathing 47 beats / min, heart rate 142 beats / min. Clear mind, nervous, wheezing, pale, lung breath sounds clear, unheard of in the wet rales, heart, abdominal examination showed no abnormalities, hands and feet cool, his hands trembling slightly. Initial diagnosis: emotional hyperventilation syndrome.