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职业性哮喘的临床评估及其鉴别诊断。

Clinical assessment of occupational asthma and its differential diagnosis.

机构信息

Hôpital du Sacré-Cœur de Montréal, 5400 Boul Gouin Ouest, Montréal, QC, Canada.

出版信息

Immunol Allergy Clin North Am. 2011 Nov;31(4):717-28, vi. doi: 10.1016/j.iac.2011.07.005.

DOI:10.1016/j.iac.2011.07.005
PMID:21978853
Abstract

Occupational asthma (OA) is defined as asthma caused by sources and conditions attributable to a particular occupational environment and not to stimuli encountered outside the workplace. Two types of OA are distinguished based on their appearance after a latency period or not. The most frequent type appears after a latency period leading to sensitization; the clinical assessment of this type of OA is the topic of this review. The differential diagnosis of OA is also reviewed, including work-exacerbated asthma, eosinophilic bronchitis, hyperventilation syndrome, vocal cord dysfunction, bronchiolitis, and other causes of dyspnea or cough.

摘要

职业性哮喘(OA)定义为由特定职业环境中可归因于工作的来源和条件引起的哮喘,而不是由工作场所之外遇到的刺激物引起的哮喘。根据出现潜伏期与否,OA 可分为两种类型。最常见的类型出现在潜伏期后导致致敏;这种类型的 OA 的临床评估是本综述的主题。OA 的鉴别诊断也进行了回顾,包括与工作相关的哮喘、嗜酸性粒细胞性支气管炎、过度通气综合征、声带功能障碍、细支气管炎和其他引起呼吸困难或咳嗽的原因。

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1
Clinical assessment of occupational asthma and its differential diagnosis.职业性哮喘的临床评估及其鉴别诊断。
Immunol Allergy Clin North Am. 2011 Nov;31(4):717-28, vi. doi: 10.1016/j.iac.2011.07.005.
2
Definitions and classification of work-related asthma.工作相关哮喘的定义和分类。
Immunol Allergy Clin North Am. 2011 Nov;31(4):645-62, v. doi: 10.1016/j.iac.2011.07.003.
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Irritant-induced airway disorders.刺激性气道疾病。
Immunol Allergy Clin North Am. 2011 Nov;31(4):747-68, vi. doi: 10.1016/j.iac.2011.07.002.
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Diagnosis and frequency of work-exacerbated asthma among bakers.烘焙师中与工作相关的哮喘的诊断和频率。
Ann Allergy Asthma Immunol. 2013 Nov;111(5):370-5. doi: 10.1016/j.anai.2013.08.004. Epub 2013 Aug 30.
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Occupational rhinitis.职业性鼻炎。
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Comparison of methacholine and mannitol bronchial provocation tests in workers with occupational asthma.职业性哮喘患者中乙酰甲胆碱与甘露醇支气管激发试验的比较
J Allergy Clin Immunol. 2012 Feb;129(2):555-6. doi: 10.1016/j.jaci.2011.09.012. Epub 2011 Oct 21.
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Bronchial responsiveness in bakery workers: relation to airway symptoms, IgE sensitization, nasal indices of inflammation, flour dust exposure and smoking.面包店工人的支气管反应性:与气道症状、IgE致敏、鼻腔炎症指标、面粉粉尘暴露及吸烟的关系。
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[Asthma--a disease difficult to define. Patients can receive correct treatment by means of differential diagnosis criteria].[哮喘——一种难以定义的疾病。患者可通过鉴别诊断标准接受正确治疗]
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Sensitization and irritant-induced occupational asthma with latency are clinically indistinguishable.致敏和刺激性职业性哮喘潜伏期无临床差异。
Occup Med (Lond). 2012 Mar;62(2):129-33. doi: 10.1093/occmed/kqr211. Epub 2011 Dec 22.

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