“喘着气说出”可以翻译为 “say with a gasp” 或者 “utter breathlessly” 。例如：
He said with a gasp, "I can't run any further."（他喘着气说出：“我跑不动了。”）
She uttered breathlessly, "Help me, please!"（她喘着气说出：“请帮帮我！”）