Schmidt M
Pneumologie an der Medizinischen Universitätsklinik Würzburg.
Pneumologie. 1993 Jul;47(7):439-42.
Functional disturbances of the larynx can obstruct respiratory airflow resulting in dramatic states of dyspnoea or shortness of breath. Whereas in inspiratory functional laryngospasm the diagnosis is suggested by inspiratory stridor and hoarseness, it is often difficult to differentiate between the two expiratory forms, namely, laryngospasm in asthma and laryngeal pseudoasthma on the one hand, and an obstructive disease of the lower respiratory tract on the other. Seven case reports demonstrate the by no means uniform pattern of symptoms, the diagnostics and the unfortunately not always satisfactory possibilities of treatment. Pulmonary functional analysis and laryngoscopy are the most important diagnostic procedures in this regard. Even if it is not always possible to achieve the desired freedom from symptoms by means of respiratory therapy, logopaedics or psychotherapy, a correct diagnosis will nevertheless protect both the patient and the doctor against further useless attempts at drug treatment.
喉部功能紊乱会阻碍呼吸气流，导致严重的呼吸困难或呼吸急促状态。吸气性功能性喉痉挛的诊断依据是吸气性喘鸣和声音嘶哑，而区分两种呼气形式往往很困难，一方面是哮喘中的喉痉挛和喉假性哮喘，另一方面是下呼吸道阻塞性疾病。七例病例报告展示了症状模式、诊断方法以及不幸的是并不总是令人满意的治疗可能性并非千篇一律。在这方面，肺功能分析和喉镜检查是最重要的诊断程序。即使通过呼吸治疗、言语治疗或心理治疗并不总是能够达到预期的症状缓解，但正确的诊断仍将保护患者和医生避免进一步进行无意义的药物治疗尝试。
