胸闷变异性哮喘的临床诊治进展

Progresson Clinical Diagnosis and Treatment of Chest Tightness Variant Asthma

胸闷变异性哮喘(chest tightness variant asthma,CTVA)是以胸闷为唯一的临床表现,而无喘息、气急、咳嗽等典型的哮喘表现,通常,临床中CTVA患者辗转就诊于心内科、神经科、呼吸科、中医科就诊,长期多处求医未能明确诊断,常被误诊为"心脏疾病"或"心因性疾病",治疗后无明显改善,长期误诊漏诊将导致肺功能严重受损,大量时间和金钱被浪费,严重影响患儿的健康成长。本文将对CTVA的中西医病机、诊断、治疗及病情检测评估进行综述研究,旨在提高对CTVA的认识,为临床治疗提供理论参考。

Chest tightness variant asthma(CTVA)is the only clinical manifestation of chest tightness,and there are no typical asthmatic manifestations such as wheezing,shortness of breath,cough,and typical pathological features of asthma,effective for inhaled corticosteroids(ICS)or ICS plus long-acting B2 receptor agonists.Usually,patients with CTVA in the clinic are referred to the Department of Cardiology,Neurology,Respiratory Medicine,and Traditional Chinese Medicine.Many patients have not been diagnosed for a long time.They are often misdiagnosed as"heart disease"or"cardiac disease".There is no obvious improvement after the long-term misdiagnosis and missed diagnosis will lead to serious damage to lung function,and a lot of time and money is wasted,which seriously affects the healthy growth of children.This article will review the pathogenesis of Chinese and Western medicine,diagnosis,treatment and condition assessment of chest tightness and asthma,aiming to improve the understanding of CTVA and provide a theoretical reference for clinical treatment.