78例因呼吸困难就诊的非呼吸系统疾病患儿病因分析.docVIP

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 湖南省儿童医院急诊科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 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; 作者简介：臧平 (1982-) , 男, 主治医师。研究方向:小儿急救 作者简介：罗兰, E-mail:335129775@ 收稿日期：2016-12-28 Etiological analysis of 78 cases of dyspnea due to non-respiratory diseases ZANG Ping LUO Lan Hunan Childrens Hospital; 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 Childrens 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. Keyword： Dyspnea; Non-respiratory diseases; Cause; Children; Received： 2016-12-28 呼吸困难是儿科急诊常见的症状之一, 多见于呼吸系统疾病, 但非呼吸系统疾病同样会出现呼吸困难症状, 不仅影响