悖论性的声功能障碍模仿一个年轻女性患者的支气管喘
Raman Goit1, Prakash Raj Oli2, Quang Le3
1Internal Medicine, Kathmandu Medical College, Kathmandu, NPL.
Cureus
|August 7, 2023
概括
诱导性喉阻塞 (ILO) 可以模仿喘症状,导致诊断延迟. 通过柔性喉腔镜即时诊断对于这种声功能障碍的有效治疗至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 肺部病理学 肺部病理学
- 呼吸系统医学 呼吸系统医学
背景情况:
- 诱导性喉阻塞 (ILO),也称为悖论性声运动 (PVFM),涉及由于声功能障碍导致的可逆性喉收窄.
- 区分ILO与喘是具有挑战性的,因为症状重叠和潜在的共存,标准测试往往是不够的.
- 在患有急性呼吸短促和呼吸困扰的患者中,ILO经常被忽视.
研究的目的:
- 突出诊断挑战和诊断诱导性喉阻塞 (ILO) 的临床重要性.
- 介绍一个国际劳工组织模仿喘恶化情况的案例,强调需要提高提供者的意识.
主要方法:
- 一个年轻的女性的病例报告,因为呼吸短促和焦虑而经常访问急诊室.
- 诊断评估包括在急性发作期间进行柔性喉腔镜检查.
- 多学科治疗包括语音治疗,肺病学和精神病学.
主要成果:
- 灵活的喉腔镜检测出异常的声运动,诊断出矛盾的声功能障碍 (PVFD) 和肌肉张力障碍 (MTD).
- 患者经历了全面的,多学科的治疗方法后显著的临床改善.
- 这一案例强调了国际劳工组织可能被误诊为支气管喘的可能性.
结论:
- 提高医疗保健提供者对诱导性喉阻塞 (ILO) 的认识至关重要.
- 灵活的喉腔镜是识别ILO的关键诊断工具,特别是当症状模仿喘时.
- 多学科的方法是有效的管理患者与ILO和相关条件.
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