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5年来我们对405例典型哮喘和78例不典型哮喘进行了非特异性气道反应性测定,其中18例行特异性气道诱发试验,现报告如下。 1.临床资料:典型哮喘405例均按1978年哮喘会议标准确诊,均为哮喘缓解期;不典型哮喘78例,均为干咳或刺激性咳嗽,胸闷、憋气或伴胸痛2个月以上,经一般抗感染和镇咳治疗无效者。典型哮喘病例中18例进行了特异性气道诱发试验,测定前2周内未用肾上腺糠皮质激素及色甘酸二钠,48小时内未用支气管扩张剂。非特异性测定诱发剂为乙酰甲胆碱,特异性测定诱发剂为皮肤
In the past five years, we conducted nonspecific airway reactivity tests on 405 cases of typical asthma and 78 cases of atypical asthma. Among them, 18 cases were given specific airway induction test and are reported as follows. Clinical data: 405 cases of typical asthma were diagnosed according to the standard of 1978 asthma conference, all of which were remission of asthma; 78 cases of atypical asthma were dry cough or irritating cough, chest tightness, suffocation or chest pain for more than 2 months. General anti-infective and antitussive treatment ineffective. 18 cases of typical asthma in patients with specific airway induction test was not determined within 2 weeks before adrenal corticoids and cromolyn disodium, 48 hours without bronchodilators. The non-specific assay evoked agent was methacholine, and the specific test evoked agent was skin