J Pediatr Health Care. 2019 Jan;33(1):5-13. doi: 10.1016/j.pedhc.2018.03.002. Epub 2018 Apr 13.
Vocal cord dysfunction is an obstruction of the upper airway, primarily on inspiration, due to the paradoxical adduction of the vocal cords. Vocal cord dysfunction continues to be underdiagnosed as its own entity. The lack of diagnosis can be attributed to the overlap of symptoms between asthma and exercise-induced bronchospasm. It is possible for patients diagnosed with asthma and/or exercise-induced bronchospasm to have underlying vocal cord dysfunction, which needs to be considered when prescribing asthma medications. This article will review the history of vocal cord dysfunction, the differential diagnosis, diagnostic testing, and the role of the nurse practitioner in caring for these patients.
声带功能障碍是一种上呼吸道阻塞，主要发生在吸气时，由于声带的反常内收。声带功能障碍作为一种独立的疾病仍然存在漏诊的情况。这种漏诊的原因在于哮喘和运动性支气管痉挛之间存在症状重叠。被诊断患有哮喘和/或运动性支气管痉挛的患者可能存在潜在的声带功能障碍，在开具哮喘药物时需要考虑这一点。本文将回顾声带功能障碍的历史、鉴别诊断、诊断测试以及护士从业者在照顾这些患者中的作用。
