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[运动诱发的吸气性喘鸣。运动诱发哮喘的重要鉴别诊断]

[Exercise-induced inspiratory stridor. An important differential diagnosis of exercise-induced asthma].

作者信息

Christensen Pernille, Thomsen Simon Francis, Rasmussen Niels, Backer Vibeke

机构信息

Bispebjerg Hospital, Lungemedicinsk Forskningsenhed, Lunge-medicinsk Klinik L, København NV.

出版信息

Ugeskr Laeger. 2007 Nov 19;169(47):4047-50.

PMID:18078656
Abstract

Recent studies suggest that exercise-induced inspiratory stridor (EIIS) is an important and often overlooked differential diagnosis of exercise-induced asthma. EIIS is characterised by astma-like symptoms, but differs by inspiratory limitation, fast recovery, and a lack of effect of inhaled bronchodilators. The prevalence of EIIS is reported to be 5-27%, and affects both children and adults. The pathophysiology, the pathogenesis, and the treatment of the condition are not yet clarified. At present, a population-based study is being conducted in order to address these points.

摘要

最近的研究表明,运动诱发的吸气性喘鸣(EIIS)是运动诱发哮喘的一种重要且常被忽视的鉴别诊断。EIIS的特征是类似哮喘的症状,但在吸气受限、恢复快以及吸入支气管扩张剂无效方面有所不同。据报道,EIIS的患病率为5%-27%,且在儿童和成人中均有发生。该病症的病理生理学、发病机制及治疗方法尚未明确。目前,正在进行一项基于人群的研究以解决这些问题。

相似文献

1
[Exercise-induced inspiratory stridor. An important differential diagnosis of exercise-induced asthma].[运动诱发的吸气性喘鸣。运动诱发哮喘的重要鉴别诊断]
Ugeskr Laeger. 2007 Nov 19;169(47):4047-50.
2
Etiology of exercise-induced dyspnea: not just exercise-induced asthma or vocal cord dysfunction.运动诱发性呼吸困难的病因:不只是运动性哮喘或声带功能障碍。
J Allergy Clin Immunol. 2008 Jan;121(1):269; author reply 269. doi: 10.1016/j.jaci.2007.08.062. Epub 2007 Oct 24.
3
[Vocal cord dysfunction or bronchial asthma?].[声带功能障碍还是支气管哮喘?]
Pol Merkur Lekarski. 2005 Jun;18(108):715-9.
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Masqueraders of exercise-induced vocal cord dysfunction.运动诱发性声带功能障碍的伪装者
J Allergy Clin Immunol. 2009 Aug;124(2):377-8, 378.e1-3. doi: 10.1016/j.jaci.2009.03.026. Epub 2009 May 27.
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Paradoxical vocal cord dysfunction: when a wheeze is not asthma.反常性声带功能障碍:当喘鸣并非哮喘时。
Singapore Med J. 2008 Apr;49(4):e110-2.
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Vocal cord dysfunction mimicking exercise-induced bronchospasm in adolescents.青少年中模仿运动诱发支气管痉挛的声带功能障碍
Pediatrics. 1996 Nov;98(5):971-4.
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[Vocal cord dysfunction--differential diagnosis of asthma. Symptoms description and treatment suggestions].[声带功能障碍——哮喘的鉴别诊断。症状描述及治疗建议]
Lakartidningen. 2006;103(48):3832, 3835-6.
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[Exercise-induced asthma could be laryngeal obstruction. Not uncommon among young sportsmen--avoiding the wrong treatment is important].运动诱发性哮喘可能是喉部阻塞。在年轻运动员中并不罕见——避免错误治疗很重要。
Lakartidningen. 2009;106(38):2351-3.
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Episodic stridor in a child secondary to vocal cord dysfunction.
Pediatr Pulmonol. 1990;9(1):46-8. doi: 10.1002/ppul.1950090111.
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How accurate is the diagnosis of exercise induced asthma among Vancouver schoolchildren?温哥华学童运动诱发性哮喘的诊断有多准确?
Arch Dis Child. 2005 Sep;90(9):898-902. doi: 10.1136/adc.2004.063974. Epub 2005 Apr 26.

引用本文的文献

1
Exercise-induced laryngeal obstruction in athletes treated with inspiratory muscle training.接受吸气肌训练治疗的运动员的运动性喉梗阻
BMJ Open Sport Exerc Med. 2019 Jan 18;5(1):e000436. doi: 10.1136/bmjsem-2018-000436. eCollection 2019.
2
Supraglottoplasty as treatment of exercise induced laryngeal obstruction (EILO).声门上成形术治疗运动性喉梗阻(EILO)。
Eur Arch Otorhinolaryngol. 2016 Apr;273(4):945-51. doi: 10.1007/s00405-015-3823-2. Epub 2015 Nov 5.
3
Exercise-induced laryngeal obstructions objectively assessed using EILOMEA.
使用 EILOMEA 客观评估运动诱发的喉阻塞。
Eur Arch Otorhinolaryngol. 2010 Mar;267(3):401-7. doi: 10.1007/s00405-009-1113-6. Epub 2009 Oct 21.
4
Audiovisual assessment of exercise-induced laryngeal obstruction: reliability and validity of observations.运动诱发的喉阻塞的视听评估:观察的可靠性和有效性。
Eur Arch Otorhinolaryngol. 2009 Dec;266(12):1929-36. doi: 10.1007/s00405-009-1030-8. Epub 2009 Jul 8.