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反复出现的呼吸困难和喘息——肺功能测试及动态计算机断层扫描可能有助于气管支气管软化症的诊断。

Recurrent dyspnea and wheezing- pulmonary function test and dynamic computed tomography may unfold the diagnosis of tracheobronchomalacia.

作者信息

Roy Ashish Kumar, Roy Moni, Kerolus Ghaly

机构信息

Department of Internal Medicine, OSF Saint Francis Medical Center, Peoria, IL, USA.

Department of Internal Medicine, University of Illinois College of Medicine, Peoria, IL, USA.

出版信息

J Community Hosp Intern Med Perspect. 2017 Oct 18;7(5):303-306. doi: 10.1080/20009666.2017.1383119. eCollection 2017.

Abstract

Tracheomalacia patients often present with nonspecific symptoms like cough, wheezing and dyspnea. Tracheomalacia diagnosis is usually attributed to alternative common conditions such as asthma or chronic obstructive lung disease. Certain maneuvers, like forced expiration, or recumbent position may elicit subtle signs of tracheomalacia. Ordering novel pulmonary function testing in sitting upright and supine positions may provide additional clues to suspect tracheomalacia, which can be confirmed by either dynamic chest tomography or bronchoscopy.

摘要

气管软化症患者常表现出咳嗽、喘息和呼吸困难等非特异性症状。气管软化症的诊断通常归因于哮喘或慢性阻塞性肺疾病等其他常见病症。某些动作,如用力呼气或卧位,可能会引出气管软化症的细微体征。安排在直立位和仰卧位进行新型肺功能测试,可能会为怀疑气管软化症提供更多线索,这可以通过动态胸部断层扫描或支气管镜检查来确诊。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd48/5676792/461480094f41/ZJCH_A_1383119_F0001_OC.jpg

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