Korpas J, Sadlonova J, Salat D, Masarova E
Department of Pathophysiology, Medical Faculty, Comenius University, Martin, CSSR.
Bull Eur Physiopathol Respir. 1987;23 Suppl 10:47s-50s.
We have analyzed the origin of the first and second cough sounds recorded by tussiphonography. About 10,000 tussiphonograms were performed in about 1,000 healthy and diseased subjects. Changes in the first cough sound are due to pathological processes in the airways, for example, the presence of mucus or acute inflammatory disease. The first cough sound may then become divided. In bronchial asthma the first sound is also abnormal because of the narrowed airways. The origin of the second sound becomes clear by its absence in patients after laryngectomy or in those with paralysis of the vocal folds. The reappearance of the second cough sound may indicate rehabilitation of the vocal folds. With laryngotracheitis there is a pattern of multiple sounds. In patients with cough of psychogenic origin, the second sound is absent and cough sounds "bovine". Treatment of patients with bronchodilating drugs did not improve their pathological cough sounds in spite of improvement in airway obstruction.
我们分析了咳嗽音描记法记录的第一和第二咳嗽音的起源。在约1000名健康和患病受试者中进行了约10000次咳嗽音描记。第一咳嗽音的变化归因于气道的病理过程，例如黏液的存在或急性炎症性疾病。然后第一咳嗽音可能会分裂。在支气管哮喘中，由于气道变窄，第一声音也异常。通过喉切除术后患者或声带麻痹患者中第二声音的缺失，其起源变得清晰。第二咳嗽音的再次出现可能表明声带恢复。在喉气管炎中存在多种声音模式。在有心理源性咳嗽的患者中，第二声音缺失，咳嗽声音“如牛叫”。尽管气道阻塞有所改善，但使用支气管扩张药物治疗患者并没有改善其病理性咳嗽声音。
