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-  2015 

69例误诊为支气管哮喘的病例分析

DOI: doi:10.7507/1671-6205.2015007

Keywords: 误诊, 支气管哮喘, 病例分析

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Abstract:

目的分析误诊为支气管哮喘(简称哮喘)的其他疾病, 以减少临床误诊。 方法对广州呼吸疾病研究所2012年2月至2014年2月误诊为哮喘的69例患者的临床资料进行回顾性分析, 并总结疾病的特点。 结果多达13种疾病误诊为哮喘, 占前5位的分别为嗜酸粒细胞性支气管炎(21.74%)、上气道咳嗽综合征(20.29%)、慢性阻塞性肺疾病(13.04%)、变态反应性支气管肺曲霉病(7.25%)和过度换气综合征(7.25%), 少见疾病有嗜酸性肉芽肿性血管炎及声带功能障碍等。 结论许多疾病与哮喘有相似表现, 加强对哮喘及与其有相似症状的其他疾病的认识是避免和减少误诊的关键

References

[1]  1. Zhang X, Morrison-Carpenter T, Holt JB, et al.Trends in adult current asthma prevalence and contributing risk factors in the United States by state:2000-2009.BMC Public Health, 2013, 13:1156.
[2]  2. Li J, Wang H, Chen Y, et al.House dust mite sensitization is the main risk factor for the increase in prevalence of wheeze in 13 to 14 year-old schoolchildren in Guangzhou city, China.Clin Exp Allergy, 2013, 43:1171-1179.
[3]  3. 中华医学会呼吸病学分会哮喘学组.支气管哮喘防治指南.中华结核和呼吸杂志, 2008, 31:177-185.
[4]  4. Vonk JM, Jongepier H, Panhuysen CM, et al.Risk factors associated with the presence of irreversible airflow limitation and reduced transfer coeffieient in patients with asthma after 26 years of follow up.Thorax, 2003, 58:322-327.
[5]  5. Gibson PG, Simpson JL.The overlap syndrome of asthma and COPD:what are its feature and how important is it? Thorax, 2009, 64:728-735.
[6]  6. 秦茵茵, 吴国锋, 谢燕清.老年患者慢性阻塞性肺疾病和哮喘临床分析.中国呼吸与危重监护杂志, 2012, 11:111-115.
[7]  7. Shaw DE, Berry MA, Hargadon B, et al.Association between neutrophilie airway inflammation and airfiow limitation in adults with asthma.Chest, 2007, 132:1871-1875.
[8]  8. Busacker A, Newell JD, Keefe T, et al.A multivariate analysis of risk factors for the air-trapping asthmatic phenotype as measured by quantitative CT analysis.Chest, 2009, 135:48-56.
[9]  14. Brighding CE, Bradding P, Symon FA, et al.Mast-cell infiltration of airway smooth muscle in asthma.N Engl J Med, 2002, 346:1699-1705.
[10]  15. Berry MA, Hagadon B, McKenna S, et al.Observational study of the natural history of eosinophilic bronchitis.Clin Exp Anergy, 2005, 35:598-601.
[11]  17. Kenn K, Willer G, Bizer C, et al.Prevalence of vocal cord dysfunction in patients with dyspnea:first prospective clinical study, abstracted.Am J Respir Crit Care Med, 1997, 155:A965.
[12]  25. Denning DW, Pleuvry A, Cole DC.Global burden of allergic bronchopulmonary aspergillosis with asthma and its complication chronic pulmonary aspergillosis in adults.Med Mycol, 2013, 51:361-370.
[13]  9. Tsuda Y, Noguchi T, Mochizukj H, et al.Patients with mild-to-moderate asthrna may develop clinically significant chronic obstructive pulmonary disease.Respirology, 2009, 14:529-536.
[14]  10. Bleecker ER.Similarities and differenees in asthma and COPD.The Dutch hypothesis.Chest, 2004, 126:93S-95S.
[15]  11. 罗炜, 赖克芳, 陈如冲, 等.嗜酸粒细胞性支气管炎患者气道炎症细胞及介质的探讨.中华结核和呼吸杂志, 2005, 28:626-629.
[16]  12. Brightling CE, Symon FA, Birring SS, et al.Comparison of airway immunopathology of eosinophilic bronchitis and asthma.Thorax, 2003, 58:528-532.
[17]  13. Woodman L, Sutcliffe A, Kaur D, et al.Chemokine concentrations and mast cell chemotactic activity in BAL fluid in patients with eosinophilic bronchitis and asthma, and in normal control subjects.Chest, 2006, 130:371-378.
[18]  16. Bahrainwala AH, Simon MR.Wheezing and vocal cord dysfunction mimicking asthma.Curr Opin Pulm Med, 2001, 7:8-13.
[19]  18. Parsons JP, Benninger C, Hawley MP, et al.Vocal cord dysfunction:Beyond severe asthma.Respir Med, 2010, 104:504-509.
[20]  19. Traister RS, Fajt ML, Whitman-Purves E, et al.A retrospective analysis comparing subjects with isolated and coexistent vocal cord dysfunction and asthma.Allergy Asthma Proc, 2013, 34:349-355.
[21]  20. Newman KB, Mason UG, Schmaling KB.Clinical features of vocal cord dysfunction.Am J Respir Crit Care Med, 1995, 152:1382-1386.
[22]  21. Kenn K, Hess MM.Vocal cord dysfunction:an important differential diagnosis of bronchial asthma.Dtsch Arztebl Int, 2008, 105:699-704.
[23]  22. Noyes BE, Kemp JS.Vocal cord dysfunction in children.Paediatr Respir Rev, 2007, 8:155-163.
[24]  23. Moss RB.Management of allergic aspergillpsia.Current Fungal Infection Reports, 2008, 2:87-93.
[25]  24. 龚传鹏, 向东方, 张淑芳.108首发癔症患者的临床特征及3年随访研究.中国神经精神疾病杂志, 2006, 32:239.

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