Røksund Ola Drange, Olin J Tod, Halvorsen Thomas
The Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway; Department of Paediatrics, Haukeland University Hospital, Bergen, Norway.
Department of Pediatrics, National Jewish Health, Denver, Colorado, USA.
Immunol Allergy Clin North Am. 2018 May;38(2):281-292. doi: 10.1016/j.iac.2018.01.002. Epub 2018 Feb 19.
Exertional dyspnea can be a manifestation of dysfunction in a variety of organ systems. Exercise-induced laryngeal obstruction (EILO), a condition previously known as vocal cord dysfunction and paradoxic vocal fold motion, is defined as inappropriate, reversible narrowing of the larynx during vigorous exercise. EILO is usually characterized by typical symptoms, which nevertheless frequently are confused with those of other conditions, including asthma. Laryngoscopy performed as symptoms evolve from rest to peak exercise is pivotal in patient work-up. Moving forward, laryngoscopy findings that definitively characterize EILO need to be defined as do objective measures that can quantitate absolute laryngeal measurements during exercise.
劳力性呼吸困难可能是多种器官系统功能障碍的一种表现。运动性喉梗阻(EILO),一种以前被称为声带功能障碍和反常声带运动的病症,被定义为在剧烈运动期间喉部不适当的、可逆性狭窄。EILO通常具有典型症状,然而这些症状常常与包括哮喘在内的其他病症的症状相混淆。随着症状从休息状态发展到运动峰值时进行的喉镜检查在患者检查中至关重要。展望未来,需要明确能够明确表征EILO的喉镜检查结果,以及能够在运动期间定量喉部绝对测量值的客观测量方法。