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[哮喘与肺结节病患者呼吸困难的鉴别]

[Differentiation of dyspnea in patients with asthma and lung sarcoidosis].

作者信息

Płusa Tadeusz

机构信息

Medical Faculty of Łazarski University in Warsaw, Poland.

出版信息

Pol Merkur Lekarski. 2018 Mar 27;44(261):110-112.

Abstract

Dyspnea as a subjective feeling of lack of air is the patients with the pathology of the respiratory system. Objectivization of this phenomenon is difficult, despite the introduction of questionnaires about the degree of dyspnoea. The results of these assessments do not always correlate with the results of spirometric tests. In patients with asthma, dyspnoea is caused by airway obstruction. In the case of patients with lung sarcoidosis, the complexity of the phenomenon causes that many mechanisms and factors are responsible for the dyspnea symptoms in these patients. Dyspnea in patients with sarcoidosis is progressive and is closely related to the extent of interstitial exchanges. The diffusion capacity for carbon monoxide (DLco) determined in these patients reflects the degree of respiratory distress. Therapeutic procedures are also dependent on this parameter.

摘要

呼吸困难作为一种主观的空气不足感,见于患有呼吸系统疾病的患者。尽管引入了关于呼吸困难程度的问卷,但这种现象的客观化仍很困难。这些评估结果并不总是与肺功能测试结果相关。在哮喘患者中,呼吸困难是由气道阻塞引起的。对于肺结节病患者,这种现象的复杂性导致许多机制和因素导致这些患者出现呼吸困难症状。结节病患者的呼吸困难是进行性的,并且与间质交换的程度密切相关。在这些患者中测定的一氧化碳弥散量(DLco)反映了呼吸窘迫的程度。治疗程序也取决于这个参数。

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