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表现为运动诱发哮喘的上气道梗阻

Upper airway obstruction presenting as exercise-induced asthma.

作者信息

Lakin R C, Metzger W J, Haughey B H

出版信息

Chest. 1984 Sep;86(3):499-501. doi: 10.1378/chest.86.3.499.

DOI:10.1378/chest.86.3.499
PMID:6468016
Abstract

A patient presented with a ten-year history of exercise-induced wheezing. After trials of metaproterenol and cromolyn failed to improve her symptoms, she was observed during exercise. She proved to have inspiratory stridor caused by collapse of the posterior aryepiglottic folds over the vocal cords during inspiration only following exercise. Symptoms primarily improved with physical conditioning. Further improvement came after treatment of her chronic rhinitis and post-nasal drip with a steroid nasal spray.

摘要

一名患者有运动诱发性喘息病史十年。在试用间羟异丙肾上腺素和色甘酸钠未能改善其症状后,对她进行了运动期间的观察。结果发现,仅在运动后的吸气过程中,会厌后襞塌陷至声带上方,导致她出现吸气性喘鸣。症状主要通过体能锻炼得到改善。在用类固醇鼻喷雾剂治疗她的慢性鼻炎和鼻后滴漏后,症状进一步改善。

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