【摘要】　目的　 總結(jié)非器質(zhì)性呼吸困難患者的急診診治經(jīng)驗(yàn)，提高急診醫(yī)生對(duì)心理-生理性疾病的認(rèn)識(shí)。　方法　 對(duì)2005年-2009年急診科32例非器質(zhì)性呼吸困難患者的診治經(jīng)過(guò)進(jìn)行回顧性分析。　結(jié)果　 32例患者發(fā)病前均有精神創(chuàng)傷或過(guò)度勞累、精神緊張、或應(yīng)急等心因性誘因；有典型的臨床癥狀；過(guò)度通氣激發(fā)試驗(yàn)陽(yáng)性；血?dú)夥治鎏崾竞粑詨A中毒；Nijmegen問(wèn)卷積分≤23分者18例（56.2%）；輔助檢查未見(jiàn)其他原發(fā)性疾病。　結(jié)論　 隨著現(xiàn)代社會(huì)身心壓力的增大，非器質(zhì)性呼吸困難患者明顯增加，臨床醫(yī)生應(yīng)加強(qiáng)對(duì)社會(huì)心理-生理性疾病的認(rèn)識(shí)，提高診斷率，對(duì)減輕患者的精神壓力及避免過(guò)度醫(yī)療具有重要的臨床意義。
【Abstract】　Objective　 To summarize the medical experiences of treating nonorganic dyspnea in the emergency department and raise physicians’ awareness of psychological-physiological diseases.　Methods　 The clinical data of 32 patients with nonorganic dyspnea between 2005 and 2009 in the emergency department of our hospital were analyzed retrospectively.　Results　 All the 32 patients had psychogenic incentives before onset of the disease, such as mental injury, over-exhaustion, nervousness or emergency. All of them had typical clinical manifestations. The results of hyperventilation provocation test were positive. Arterial blood gas analysis implied respiratory alkalosis. Eighteen of them (56.2%) had a mark ≤23 on the Nijmegen questionnaire. Auxiliary examinations showed no other primary diseases.　Conclusions　 With the increase of emotional stress in the modern society, the number of patients with nonorganic dyspnea have markedly increased. Clinicians should strengthen the awareness of social psychology-physiological diseases, and improve diagnostic accuracy, which will have an obvious clinical value in relieving patients’ mental stress and avoiding excessive medical treatment.

引用本文： 羅昌彬,章成. 急診室對(duì)非器質(zhì)性呼吸困難的臨床分析. 華西醫(yī)學(xué), 2011, 26(11): 1653-1655. doi: 復(fù)制

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