【摘要】　目的　 總結非器質性呼吸困難患者的急診診治經驗，提高急診醫生對心理-生理性疾病的認識。　方法　 對2005年-2009年急診科32例非器質性呼吸困難患者的診治經過進行回顧性分析。　結果　 32例患者發病前均有精神創傷或過度勞累、精神緊張、或應急等心因性誘因；有典型的臨床癥狀；過度通氣激發試驗陽性；血氣分析提示呼吸性堿中毒；Nijmegen問卷積分≤23分者18例（56.2%）；輔助檢查未見其他原發性疾病。　結論　 隨著現代社會身心壓力的增大，非器質性呼吸困難患者明顯增加，臨床醫生應加強對社會心理-生理性疾病的認識，提高診斷率，對減輕患者的精神壓力及避免過度醫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. 急診室對非器質性呼吸困難的臨床分析. 華西醫學, 2011, 26(11): 1653-1655. doi: 復制