支气管激发试验在以胸痛为主要表现的支气管哮喘中的应用价值

摘要

Objective To discuss the value of bronchial provocation test in asthma only with chest pain. Methods 80 patients with cryptogenic chest pain were tested bronchial hyperresponsiveness through pulmonary function and bronchial provocation test. Results The bronchial provocation test of 35 (43. 8%)patients of these patients were positive, suggesting that they were bronchial hyperresponsiveness. Exclude all possibility of diseases, they accepted exploratory treatment. At last they were diagnosed asthma. The chest pain was relived partly or fully after normative treatment. Conclusion Chest pain is an especial symptom of asthma. When failure to find reason of the chest pain, we should think of asthma, and make the lung function and bronchial provocation test in time. It's benefit of diagnosis and reducing the incorrect treatment.%目的 探讨支气管激发试验在以胸痛为主要表现的支气管哮喘中的应用价值.方法 对80例不明原因的胸痛患者行肺功能检查及支气管激发试验,检测其气道高反应性.结果 80例不明原因的胸痛患者,经肺功能检查及支气管激发试验,其中35例(43.8％)支气管激发试验阳性,即存在气道高反应性,排除其它疾病后,给予诊断性治疗,最终35例诊断为支气管哮喘,之后经过规范治疗,胸痛均有部分或完全缓解.结论 胸痛是支气管哮喘的一种特殊临床表现.对不明原因胸痛,反复诊治效果不佳,应考虑是否是以胸痛为主要表现的支气管哮喘,及时行肺功能检查及支气管激发试验,有利于明确诊断,减少误诊误治.