呼吸困难患者的治疗方法

R. Badr Eslam, A. Waxman
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引用次数: 0

摘要

呼吸困难是心肺和神经肌肉疾病常见的痛苦症状。在一份共识声明中,美国胸科学会(American Thoracic Society)将呼吸困难定义为“一种呼吸不适的主观体验,由不同强度的不同质量的感觉组成。”呼吸困难是一种非特异性的主诉,是最常见的患者主诉之一。本文综述了呼吸困难的定义、流行病学、病因学、病理生理学、外周机制和评估。图中描绘了细胞代谢和运动生理学,以及有创心肺运动试验(iCPET)流程图。表中列出了呼吸困难的常见原因、有创心肺运动试验(iCPET)诊断以及肺动脉高压的iCPET特征。这篇综述包含2个高度渲染的图,3个表和51个参考文献。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Approach to the Patient with Dyspnea
Dyspnea is a common, distressing symptom of cardiopulmonary and neuromuscular disease. In a consensus statement, the American Thoracic Society defined dyspnea as “a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity.” Dyspnea is a nonspecific complaint and is one of the most frequent patient complaints. This review discusses the definition, epidemiology, etiology, pathophysiology, peripheral mechanisms, and evaluation of dyspnea. Figures depict cellular metabolism and exercise physiology, and an invasive cardiopulmonary exercise testing (iCPET) flow diagram. Tables list the common causes of dyspnea, invasive cardiopulmonary exercise testing (iCPET) diagnosis, and iCPET characteristics of pulmonary hypertension. This review contains 2 highly rendered figures, 3 tables, and 51 references.
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