惊恐障碍48例的躯体症状

目的了解惊恐障碍患者惊恐发作时躯体症状和发生频率。方法对北京协和医院2000年8月至2002年11月门诊诊断为惊恐障碍的48例患者进行临床症状分类。结果惊恐障碍患者最常出现的症状依次为心慌(44/48,91.7%)、胸闷(36/48,75.0%)、出汗(34/48,70.8%)、憋气(33/48,68.8%)、全身发软(31/48,64.6%)、头晕(27/48,56.3%)、濒死感(27/48,56.3%)。按系统来说,惊恐发作时躯体症状平均累及4.8个系统。最常表现为心血管、神经、呼吸和植物神经系统症状。结论惊恐发作的躯体症状广泛,由于症状的广泛性和非特异性,易被误诊或漏诊。

Spectrum of physical symptoms in panic disorder

Objective To investigate the span and frequency of physical symptoms of panic attack in patients with panic disorder.Methods Panic symptoms presented at the time of panic attacks were assessed and categorized in forty-eight consecutive outpatients with panic disorder during August 2000 to November 2002.Results Palpitations (44/48,91.7%), shortness of breath (36/48,75.0%), sweating (34/48,70.8%), feel suffocated (33/48,68.8%), faint (31/48,64.6%), dizziness (27/48,56.3%) and fear of dying (27/48,56.3%) were the most frequent symptoms reported by the patients with panic disorder. If categorized according to system, the most frequent symptoms were presented in cardiovascular, neurological, respiratory and autonomic nervous systems of patients with panic disorder.Conclusions Physical symptoms varies when panic attack occurs. Panic disorder was often misdiagnosed and underdiagnosed because of wide and non-specific spectrum of physical symptoms.