Division of Pediatric Respiratory Medicine, Rady Children's Hospital, 3020 Children's Way, MC 5070, San Diego, CA 92123-4282, USA.
Division of Pediatric Respiratory Medicine, Rady Children's Hospital, 3020 Children's Way, MC 5070, San Diego, CA 92123-4282, USA.
Pediatr Clin North Am. 2021 Feb;68(1):223-237. doi: 10.1016/j.pcl.2020.09.013.
Functional respiratory disorders (FRDs) are those characterized by respiratory symptoms without anatomic or organic etiology. Clinicians caring for children encounter these disorders and should be familiar with diagnosis and treatment. FRDs encompass the habit cough syndrome and its variants, vocal cord dysfunction, hyperventilation disorders, functional dyspnea, and sighing syndrome. Failure to identify these disorders results in unnecessary testing and medication. This article reviews the clinical presentation, manifestation, and treatment of respiratory FRDs in children. How health care providers can successfully identify and treat these reversible conditions in the clinical setting is discussed.
功能性呼吸系统疾病(FRD)是指以呼吸系统症状为特征但无解剖或器质性病因的疾病。治疗儿童的临床医生经常会遇到这些疾病,应熟悉其诊断和治疗方法。FRD 包括习惯性咳嗽综合征及其变异型、声带功能障碍、过度通气障碍、功能性呼吸困难和叹息综合征。如果不能识别这些疾病,就会导致不必要的检查和药物治疗。本文回顾了儿童 FRD 的临床表现、表现和治疗方法。讨论了医疗保健提供者如何在临床环境中成功识别和治疗这些可逆转的疾病。