CAJ | 학술논문

目的：充分认识支气管激发试验在胸闷患儿诊断中的作用，同时了解以胸闷为主诉的儿童不典型哮喘的临床及肺功能特点。方法对39例支气管激发试验阳性的胸闷儿童进行临床及激发试验前后肺功能分析。结果本组病例表现为反复发作性胸闷，均不伴有肺部哮鸣音，伴有过敏性疾病者14例次，一二级亲属有过敏性疾病者19例次，激发试验前后肺功能指标的差异有统计学意义。结论胸闷是儿童不典型哮喘的临床表现之一，支气管激发试验是重要诊断依据。
목적：충분인식지기관격발시험재흉민환인진단중적작용，동시료해이흉민위주소적인동불전형효천적림상급폐공능특점。방법대39례지기관격발시험양성적흉민인동진행림상급격발시험전후폐공능분석。결과본조병례표현위반복발작성흉민，균불반유폐부효명음，반유과민성질병자14례차，일이급친속유과민성질병자19례차，격발시험전후폐공능지표적차이유통계학의의。결론흉민시인동불전형효천적림상표현지일，지기관격발시험시중요진단의거。
Objective To understand bronchial provocation test in the diagnosis of children with chest tightness and the clinical manifestation and pulmonary function of atypical asthma in children.Methods Totally 39 children with chest tightness were observed,the bronchial provocation tests were implemented,and their symptoms and pulmonary function were analyzed.Results Its main characteristics were repeated chest distress,an unnecessary wheezing,14 cases with allergic diseases and 19 cases with relatives who had allergic diseases. The values of pulmonary function had obvious differences in the group before and after experiment.Conclusion Chest tightness can be regar-ded as one of the main symptoms of children asthma.Bronchial provocation test is the most important criterion to diagnose.