最近审阅: 1 十一月 2020
最近更新: 04 三月 2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 在原来的哮喘治疗中,对支气管扩张药没有响应。
  • 发作性呼吸短促:迅速起病,快速消退
  • 吸气困难
  • 咳嗽
  • 吸气性喘鸣
  • 在初始暴露后,对非特异性触发源的敏感度提高
  • 可触及的喉部紧张
  • 意识丧失

危险因素

  • 喉咽反流(LPR)
  • 胃食管反流病 (GORD)
  • 哮喘
  • 职业/环境刺激剂暴露
  • 女性
  • 竞技运动
  • 焦虑
  • 多系统萎缩症(MSA)
  • 肌肉紧张发声困难
  • 内收肌喉部呼吸张力障碍
  • 手术

诊断性检查

首要检查

  • 挠性经鼻光纤内窥镜检查
  • PFT/流量图
更多 首要检查

需考虑的检查

  • 鼻窦 CT
  • 喉感官辨别力测试
更多 需考虑的检查

治疗流程

撰稿人

Sherri K. Zelazny

Senior Clinical Speech Language Pathologist

Surrey Voice Clinic

Abilities Neurological Rehabilitation

Surrey

British Columbia

Canada

利益声明

SKZ has received income from Northern Speech Services for educational webinar production on Paradoxical Vocal Fold Motion and Chronic Cough. SKZ is President of Speech and Hearing BC (2017-2019), and on the Board of Directors of Parkinson Society BC.

Susan L. Thibeault

Assistant Professor

Director of Voice and Swallowing Clinic

Division of Otolaryngology - Head and Neck Surgery

University of Wisconsin School of Medicine and Public Health

Health Sciences Learning Center

Madison

WI

利益声明

SLT declares that she has no competing interests.

Ms Sherri K. Zelazny and Dr Susan L. Thibeault would like to gratefully acknowledge Dr Michael Johns, a previous contributor to this topic. MJ declares that he has no competing interests.

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Associate Professor

Otolaryngology - Head and Neck Surgery

Baylor College of Medicine

Texas Children’s Hospital

Houston

TX

利益声明

JO receives book royalties from Springer and Elsevier.

Professor of Otolaryngology - Head and Neck Surgery

Newcastle University

Honorary Consultant Otolaryngologist

Freeman Hospital

Newcastle-Upon-Tyne

UK

利益声明

JW declares that she has no competing interests.

Associate Professor

Department of Otorhinolaryngology

Department of Anatomy

University of the Philippines

College of Medicine

Manila

Philippines

利益声明

RJDCC declares that he has no competing interests.

Professor of Speech Pathology

Department of Otolaryngology - Head and Neck Surgery

Clinical Director of the Voice and Swallowing Center

College of Physicians and Surgeons

Columbia University at New York Presbyterian Hospital

New York

NY

利益声明

TM declares that he has no competing interests.

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