摘要
Abstract
Chest tightness variant asthma(CTVA)is an atypical form of asthma,characterized by chest tightness as the primary symptom,without the typical asthma symptoms,such as recurrent wheezing and shortness of breath.Since it was first reported and named internationally in 2013,CTVA has gradually been recognized by clinical physicians in China and has undergone extensive clinical practice.As for diagnosis of CTVA,doctors should integrate symptoms of chest tight-ness and objective evidence of variable airflow restriction,exclude chest tightness caused by other diseases,and find effec-tive results of asthma treatment in patients.The treatment principle of CTVA is similar to that of typical asthma.An appro-priate initial treatment level should be selected based on the patient's chest tightness attack,and the stepwise treatment plan should be followed for upgrade and downgrade treatment.Based on clinical diagnosis and treatment practices,this ar-ticle systematically introduces the diagnostic criteria,diagnostic procedures,management evaluation,and treatment plans of CTVA,which is to help clinical physicians in standardizing the diagnosis and treatment of CTVA.关键词
胸闷变异性哮喘/诊治实践/吸入性糖皮质激素/呼气流量峰值Key words
Chest tightness variant asthma/Diagnosis and treatment/practice/Inhale corticosteroids/Peak expira-tory flow分类
医药卫生
