Shortness of breath
Introduction
Introduction Shortness of breath (shortness of breath) is a common clinical respiratory symptom. It is often caused by respiratory diseases or early symptoms of respiratory insufficiency caused by organs or tissue lesions that affect breathing. The condition is further aggravated by respiratory distress or difficulty breathing. Respiratory failure and life-threatening. Because of the anatomical and physiological characteristics of the respiratory system, infants are more prone to shortness of breath and respiratory distress once the disease affects breathing.
Cause
Cause
The causes of shortness of breath are various, which may be caused by diseases of the respiratory system itself, or by systemic diseases such as central nervous system, cardiovascular, abdominal cavity, gastrointestinal tract, metabolism, endocrine and blood. It is a common clinical respiratory symptom. It is often caused by respiratory diseases or early symptoms of respiratory insufficiency caused by organs or tissue lesions that affect breathing. The condition is further aggravated by respiratory distress or dyspnea, and even respiratory failure and life-threatening. Because of the anatomical and physiological characteristics of the respiratory system, infants are more prone to shortness of breath and respiratory distress once the disease affects breathing.
Examine
an examination
Detailed medical history collection and physical examination usually provide possible sites and causes of the disease, such as fever, foreign body inhalation, trauma, poisoning and other medical history can provide important clues for diagnosis. The physical examination assessment includes general response, state of consciousness, vital signs (heart rate, pulse, blood pressure, body temperature, etc.) in addition to respiratory rate, depth, rhythm, symmetry, respiratory effort (respiratory muscle work) and lung auscultation. Systemic perfusion, according to which the severity of the condition can be understood.
Diagnosis
Differential diagnosis
Most children with obvious shortness of breath may be accompanied by respiratory distress or difficulty breathing. Children with respiratory distress may not be accompanied by shortness of breath. This is more common in severe central infection or central nervous system depression caused by hypothermia, trauma, poisoning, etc., which may be characterized by slow and irregular breathing. Breathing distress and shortness of breath need to be identified. The cause of neonatal shortness of breath is different from other age groups. X-ray examination is required. No abnormalities are considered. Consider sepsis, hypoglycemia, metabolic causes, pain, fever, hyperthermia and withdrawal syndrome. If the results are abnormal, consider hyaline membrane disease, neonatal temporary shortness of breath, pneumothorax, mediastinal gas, inhalation, atelectasis, pulmonary edema, left to right shunt congenital heart disease, pleural effusion, pneumonia, congenital diaphragmatic Congenital cystic adenoid malformation and tracheoesophageal fistula.
Detailed medical history collection and physical examination usually provide possible sites and causes of the disease, such as fever, foreign body inhalation, trauma, poisoning and other medical history can provide important clues for diagnosis. The physical examination assessment includes general response, state of consciousness, vital signs (heart rate, pulse, blood pressure, body temperature, etc.) in addition to respiratory rate, depth, rhythm, symmetry, respiratory effort (respiratory muscle work) and lung auscultation. Systemic perfusion, according to which the severity of the condition can be understood.
