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上呼吸道和中央气道梗阻的诊断。

Diagnosis of obstruction of the upper and central airways.

作者信息

Kryger M, Bode F, Antic R, Anthonisen N

出版信息

Am J Med. 1976 Jul;61(1):85-93. doi: 10.1016/0002-9343(76)90048-6.

DOI:10.1016/0002-9343(76)90048-6
PMID:779469
Abstract

Patients with obstruction of the upper airways are often treated for long periods of time for other disorders. Correct diagnosis is important since treatment is quite specific. Such patients may present with a characteristic history and findings on physical examination. Certain physiologic tests such as flow-volume loops with and without helium help to prove the diagnosis. Patients with upper airway obstruction may also have sleep apneas and the sleep deprivation syndrome. Methods of diagnosis of upper airway obstruction are presented and three instructive cases are reviewed.

摘要

上呼吸道梗阻患者常因其他疾病接受长时间治疗。由于治疗具有很强的针对性,正确诊断至关重要。这类患者可能有典型的病史及体格检查结果。某些生理检查,如吸入和未吸入氦气时的流量-容积环,有助于确诊。上呼吸道梗阻患者也可能出现睡眠呼吸暂停和睡眠剥夺综合征。本文介绍了上呼吸道梗阻的诊断方法,并回顾了三个有指导意义的病例。

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Diagnosis of obstruction of the upper and central airways.上呼吸道和中央气道梗阻的诊断。
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Flow volume loop as a diagnostic marker.流量容积环作为一种诊断标志物。
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Effects of posture on carbon dioxide responsiveness in patients with obstructive sleep apnoea.姿势对阻塞性睡眠呼吸暂停患者二氧化碳反应性的影响。
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Sleep hypoxia in myotonic dystrophy and its correlation with awake respiratory function.强直性肌营养不良中的睡眠低氧血症及其与清醒呼吸功能的相关性。
Thorax. 1994 Jan;49(1):66-70. doi: 10.1136/thx.49.1.66.
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Tracheal compression relieved by cardiomyotomy.通过心肌切开术缓解气管压迫。
Thorax. 1982 Oct;37(10):776-7. doi: 10.1136/thx.37.10.776.
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Problems in diagnosis of bilateral obstruction of bronchi by foreign bodies.双侧支气管异物梗阻的诊断问题
Can Med Assoc J. 1982 Nov 1;127(9):870-1.
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Possible pitfalls in the interpretation of inspiratory flow volume curves.吸气流量容积曲线解读中的潜在陷阱。
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Upper airway obstruction.
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Flow-volume curves in obstructive sleep apnea and snoring.阻塞性睡眠呼吸暂停和打鼾的流量-容积曲线
Lung. 1990;168(4):209-14. doi: 10.1007/BF02719694.