国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
9期
717-720,封3
,共5页
声带功能障碍%肺功能检查%喉镜
聲帶功能障礙%肺功能檢查%喉鏡
성대공능장애%폐공능검사%후경
Vocal cord dysfunction%Pulmonary function test%Laryngoscopy
声带功能障碍是一种以声带矛盾性内收为特征从而引起呼吸困难或喘鸣的综合征,常易误诊为哮喘从而导致许多严重的后果.及时明确诊断具有重要意义.肺功能检查流速容量环和喉镜检查是确诊该病的有效手段,后者是诊断声带功能障碍的金标准.发作期主要以放松治疗、缩唇呼吸、吸入氧气混合物(氦氧混合物)为主;稳定期的治疗则以针对发病诱因治疗和语言疗法为主.
聲帶功能障礙是一種以聲帶矛盾性內收為特徵從而引起呼吸睏難或喘鳴的綜閤徵,常易誤診為哮喘從而導緻許多嚴重的後果.及時明確診斷具有重要意義.肺功能檢查流速容量環和喉鏡檢查是確診該病的有效手段,後者是診斷聲帶功能障礙的金標準.髮作期主要以放鬆治療、縮脣呼吸、吸入氧氣混閤物(氦氧混閤物)為主;穩定期的治療則以針對髮病誘因治療和語言療法為主.
성대공능장애시일충이성대모순성내수위특정종이인기호흡곤난혹천명적종합정,상역오진위효천종이도치허다엄중적후과.급시명학진단구유중요의의.폐공능검사류속용량배화후경검사시학진해병적유효수단,후자시진단성대공능장애적금표준.발작기주요이방송치료、축진호흡、흡입양기혼합물(양양혼합물)위주;은정기적치료칙이침대발병유인치료화어언요법위주.
Vocal cord dysfunction (VCD) is a syndrome characterized by paroxysms of glottic obstruction due to true vocal cord adduction resulting in symptoms such as dyspnea and wheezing.The disorder is often misdiagnosed as asthma leading to serious consequences.Pulmonary function testing with a flow-volume loop and flexible laryngoscopy are valuable diagnostic tests for confirming vocal cord dysfunction.Laryngoscopy is the gold standard for diagnosis of VCD.Treatment of acute episodes includes reassurance,breathing instruction,and use of a helium and oxygen mixture (heliox).Long-term management strategies include treatment for symptom triggers and speech therapy.