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[斯坦因-莱文索尔综合征中的支气管痉挛]

[Bronchospasm in the Stein-Leventhal syndrome].

作者信息

Petrov D

出版信息

Vutr Boles. 1987;26(4):83-6.

PMID:3673039
Abstract

A female patient with Stein--Leventhal syndrome has been followed up for six years. The course of the disease was characterized by attacks of bronchial obstruction markedly related to the menstrual cycle. The patient was seen before during and after normal pregnancy and normal delivery. The bronchial spasm was resistant to the ordinary antiasthmatic treatment but responded well to progesterone treatment. The role of the female sex hormones in the pathogenesis and clinical characteristics of bronchial asthma is discussed. The bronchospasm in this particular case is accepted as a clinical manifestation of the basic disease. The case is presented because of the diagnostic difficulties and the clinical masks of allergic pulmonary diseases--bronchial asthma, asthmatic bronchitis, etc. in Stein--Leventhal syndrome wrongly and ineffectively treated.

摘要

一名患有斯坦因-莱文塔尔综合征的女性患者已被随访六年。该疾病的病程特点是支气管阻塞发作与月经周期明显相关。在正常妊娠和正常分娩前、期间及之后对该患者进行了观察。支气管痉挛对普通抗哮喘治疗有抵抗,但对孕酮治疗反应良好。讨论了女性性激素在支气管哮喘发病机制和临床特征中的作用。在这种特殊情况下的支气管痉挛被认为是基础疾病的临床表现。之所以呈现该病例,是因为斯坦因-莱文塔尔综合征中过敏性肺部疾病——支气管哮喘、哮喘性支气管炎等存在诊断困难及临床掩盖现象,导致治疗错误且无效。

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