Favrat B, Uldry C
Policlinique médicale universitaire, rue César-Roux 19, 1005 Lausanne.
Rev Med Suisse Romande. 2001 Jan;121(1):19-25.
Dyspnea is a very common symptom and is mostly a benign condition. However certain pathologies could lead to the death of the patient. In such cases the general practitioner plays an important role in the prompt diagnosis and management. Although other conditions may contribute, the cardiac and pulmonary organ system is the main causes of dyspnea. A careful history and physical examination can lead to a clear diagnosis or a right suspicion. After the emergency call the physician will be also involved in the majority of the cases in the long term follow-up. This article tries to give cues of diagnosis, indications when to hospitalize and keys points for the follow-up.
呼吸困难是一种非常常见的症状,大多为良性情况。然而,某些病理状况可能导致患者死亡。在这种情况下,全科医生在及时诊断和管理中发挥着重要作用。尽管其他情况可能也有影响,但心脏和肺部器官系统是呼吸困难的主要原因。仔细的病史采集和体格检查能够得出明确诊断或正确的怀疑。在紧急呼叫之后,医生在大多数情况下也会参与长期随访。本文试图给出诊断线索、住院指征以及随访要点。