Kryger M, Bode F, Antic R, Anthonisen N
Am J Med. 1976 Jul;61(1):85-93. doi: 10.1016/0002-9343(76)90048-6.
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.
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。