大多数的气短病例由心脏或肺部状况所致。您的心脏和肺参与输送氧至组织并移除二氧化碳的过程,这两个过程中任何一个出问题都会影响您的呼吸。
忽然发生气短(称作急性)的原因有限,其中包括:
- 严重过敏反应
- 哮喘
- 一氧化碳中毒
- 心脏压塞(心脏周围液体过多)
- 慢性阻塞性肺疾病 (慢性阻塞性肺疾病)— 这是一组阻塞肺部气流的疾病的总称,包括肺气肿。
- 2019 冠状病毒病(COVID-19)
- 心脏病发作
- 心律不齐 (心律问题)
- 心力衰竭
- 感染性肺炎 (其它肺部感染)
- 气胸 — 肺萎陷。
- 肺栓塞 — 肺内动脉有血凝块。
- 突发出血
- 上气道梗阻(呼吸通道阻塞)
在气短已经持续数周或更长时间(称作慢性)情况下,这种状况最经常地归因于:
- 哮喘 — 影响肺内气道的长期状况。
- 慢性阻塞性肺疾病 (慢性阻塞性肺疾病)— 这是一组阻塞肺部气流的疾病的总称,包括肺气肿。
- 体能失调
- 心脏功能障碍
- 间质性肺病 — 造成肺部瘢痕形成的一大类状况的统称。
- 肥胖症
- 胸腔积液(肺周围液体蓄积)
其他多种健康状况也可能导致难以获得足够空气。这些包括:
肺部问题
- 哮吼 (在幼儿中尤其如此)
- 肺癌
- 胸膜炎 (肺部周围膜性炎症)
- 肺水肿 — 肺部积液过多。
- 肺纤维化 — 肺部组织受损或形成瘢痕时发生的疾病。
- 肺高压
- 结节病
- 结核病
心脏问题
- 心肌病 (心肌问题)
- 心力衰竭
- 心包炎 (心脏周围的组织发炎)
其他问题
- 贫血 — 这是一种由于缺乏健康红细胞而导致身体缺氧的状况。
- 焦虑障碍
- 肋骨骨折
- 呛噎:急救
- 会厌炎 (气管的“盖子”肿胀)
- 吸入异物:急救
- 吉兰-巴雷综合征
- 脊柱后凸侧弯(一种胸壁畸形)
- 重症肌无力 (导致肌肉无力的状况)
下面列出了与该症状有关的常见病因。请与您的医生或其他医疗中心的专家配合,寻求更准确的诊断结果。
July 03, 2022
- AskMayoExpert. Dyspnea (adult). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
- AskMayoExpert. Dyspnea (pediatric). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018.
- Mahler DA, et al. Recent advances in dyspnea. Chest. 2015;147:232.
- Walls RM, et al., eds. Dyspnea. In: Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, Pa.: Elsevier; 2018. https://www.clinicalkey.com. Accessed March 15, 2019.
- Dyspnea. Merck Manual Professional Version. https://www.merckmanuals.com/professional/pulmonary-disorders/symptoms-of-pulmonary-disorders/dyspnea?query=Shortness of Breath. Accessed March 15, 2019.
- Shortness of breath. American Cancer Society. https://www.cancer.org/treatment/treatments-and-side-effects/physical-side-effects/shortness-of-breath.html. Accessed March 15, 2019.
- Mahler DA. Evaluation of dyspnea in the elderly. Clinics in Geriatric Medicine. 2017;33:503.
- Davis C, et al. Advances in the prevention and treatment of high altitude illness. Emergency Medicine Clinics of North America. 2017;35:241.
- Warning signs of heart failure. American Heart Association. https://www.heart.org/en/health-topics/heart-failure/warning-signs-of-heart-failure. Accessed March 18, 2019.
- COPD. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/copd. Accessed March 18, 2019.
- Warning signs of a heart attack. American Heart Association. https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack. Accessed March 18, 2019.
- Venous thromboembolism. National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health-topics/venous-thromboembolism. Accessed March 18, 2019.
- AskMayoExpert. Cardiac sarcoidosis. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2019.
- Pajdzinski M, et al. Kyphoscoliosis — What can we do for respiration besides NIV? Advances in Respiratory Medicine. 2017;85:352.
- Olson EJ (expert opinion). Mayo Clinic, Rochester, Minn. May 19, 2019.
- Coronavirus disease 2019 (COVID-2019). Centers for Disease Control and Prevention. https://www.cdc.gov/coronavirus/2019-ncov/index.html. Accessed June 11, 2020.