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目的总结非器质性呼吸困难患者的急诊诊治经验,提高急诊医生对心理-生理性疾病的认识。方法对2005年2009年急诊科32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 32例患者发病前均有精神创伤或过度劳累、精神紧张、或应急等心因性诱因;有典型的临床症状;过度通气激发试验阳性;血气分析提示呼吸性碱中毒;Nijmegen问卷积分≤23分者18例(56.2%);辅助检查未见其他原发性疾病。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,临床医生应加强对社会心理-生理性疾病的认识,提高诊断率,对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 of emergency diagnosis and treatment of non-organic dyspnea patients and to improve their understanding of psychophysiological diseases. Methods A retrospective analysis was performed on the diagnosis and treatment of 32 cases of non-organic dyspnea patients in the emergency department in 2005-2009. Results All patients had traumatic or over-exertion, stress or emergency and other psychogenic factors before onset. They had typical clinical symptoms, positive hyperventilation test, blood gas analysis showed respiratory alkalosis, Nijmegen questionnaire score ≤23 Divide 18 cases (56.2%); auxiliary examination no other primary diseases. Conclusion With the increase of physical and psychological pressure in modern society, the number of non-organic dyspnea patients increased significantly. Clinicians should enhance their understanding of psychosocial-physiological diseases and improve the diagnosis rate, relieve their mental stress and avoid over-medical problems. Important clinical significance.