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目的对高通气综合征(HVS)的误诊原因进行分析,以提高对该病的诊断意识和误诊预防。方法回顾分析误诊的31例HVS临床表现、辅助检查、Nijmegen问卷调查、通气激发试验和误诊情况。结果本组31例患者在广西来宾市人民医院确诊前曾被诊断为神经官能症、癔症、焦虑症、疑病症、电解质紊乱症等。确诊后予镇静、心理干预治疗和腹式呼吸训练,病情得到控制。结论由于HVS临床表现不具有特异性,提高对本病的认识和掌握HVS的诊断标准,是防止误诊的关键。
Objective To analyze the causes of misdiagnosis of hyperventilation syndrome (HVS) so as to improve the diagnosis awareness and misdiagnosis of the disease. Methods Retrospective analysis of 31 cases of misdiagnosis of HVS clinical manifestations, auxiliary examination, Nijmegen questionnaire, ventilation test and misdiagnosis. Results The 31 patients in this group were diagnosed as neurosis, hysteria, anxiety, hypochondria, electrolyte imbalance before diagnosis in Guangxi Laibin People’s Hospital. After the diagnosis to sedation, psychological intervention and abdominal breathing training, the condition is under control. Conclusion Because the clinical manifestations of HVS are not specific, improving the understanding of the disease and mastering the diagnostic criteria of HVS is the key to prevent misdiagnosis.