ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2017, Vol. 9 ›› Issue (5): 392-394.doi: 10.3969/j.issn.1674-3865.2017.05.008

• 临床研究 • 上一篇    下一篇

78例因呼吸困难就诊的非呼吸系统疾病患儿病因分析

臧平，罗兰   

  1. 410007 长沙，湖南省儿童医院急诊科（臧平），急诊科（罗兰）
  • 出版日期:2017-10-25 发布日期:2017-12-18
  • 通讯作者: 罗兰，E-mail:335129775@qq.com
  • 作者简介:臧平（1982-），男，主治医师。研究方向：小儿急救

Etiological analysis of 78 cases of dyspnea due to non-respiratory diseases

ZANG Ping，LUO Lan   

  1. Hunan Children's Hospital, Changsha 410007，China
  • Online:2017-10-25 Published:2017-12-18

PDF (PC)

96

摘要：
目的
分析78例因呼吸困难就诊的非呼吸系统疾病患儿的病因。
方法
选取湖南省儿童医院急诊科2015年8月至2016年8月收治的78例由非呼吸系统疾病引发的呼吸困难患儿，对患儿行实验室检查、影像学检查以及超声心动图检查，确定患儿的发病原因，并且采取针对性的治疗措施。
结果
造成患儿出现呼吸困难的非呼吸系统疾病病因主要包括心功能衰竭、甲状腺肿大压迫气管、甲状腺功能减退合并心包积液、贲门失迟缓症、贫血和糖尿病酮症酸中毒，其中心功能衰竭是诱发患儿呼吸困难的主要病因，占65.4%（51/78）。针对不同发病原因治疗后，患儿呼吸困难症状均得到明显好转。
结论
在儿科急诊呼吸困难的发病中，非呼吸系统疾病的病因相对较多，需要医师通过合理的检查和判断来识别，以便采取科学的诊疗措施。

关键词: 呼吸困难, 非呼吸系统疾病, 病因, 儿童

Abstract: Objective:To analyze the causes of 78 cases of dyspnea due to non-respiratory diseases.
Methods:Seventy-eight cases of dyspnea caused by non-respiratory diseases were enrolled， who were hospitalized in the Emergency Department of Hunan Children's Hospital from August 2015 to August 2016. The children underwent laboratory examinations, imaging examinations and echocardiography to determine the cause of the disease and targeted treatment measures were adopted.
Results:The main non-respiratory causes resulting in dyspnea included heart failure, thyroid enlargement compressing the trachea and hypothyroidism combined with pericardial effusion, cardiac achalasia, anemia and diabetic ketoacidosis, among which heart failure was the main cause of dyspnea in children, accounting for 65.4%(51/78). After being treated according to the causes of different diseases, the symptoms of dyspnea in children were significantly improved.
Conclusion:In the pediatric emergency respiratory problems, there are many non-respiratory reasons, which require doctors to identify through reasonable examination and judgment, so as to take proper treatment measures.

Key words: Dyspnea, Non-respiratory diseases, Cause, Children