It must be cautious to make a definite diagnosis of bronchus asthma! 's symptom

It must be cautious to make a definite diagnosis of bronchus asthma! 's symptom
First, clinical diagnosis basis:
1,The ones that break out wheeze, have difficulty in breathing, be uncomfortable in chest or cough repeatedly, with should change original, cold air, physics, chemical stimulating, viral upper airway infection, sport,etc. to have something to do with to contacting more.
2,Can be smelt and scattered filling the air in one pair of lungs while breaking out, the sound of chirping of heavy breathing relying mainly on looks of exhaling, exhale to lengthen.
3,Medicine can obviously relieve symptom to breathe heavily by putting down. Or the above-mentioned symptom can be relieved by oneself.
Whom other disease cause wheeze except the 4, out of breath, uncomfortable in chest and coughing.
The typical one of 5 clinical manifestation (such as not obviously having wheezing or physical sign) There should be one in the following three items at least: A bronchus stimulates testing or sports and tests the masculine gender; Test the masculine gender in 2nd bronchus relaxation PEF making a variation rate is greater than equalling by 20% in 3 days and nights
The person who accords with 1-4 or 45 can diagnose bronchus asthma. The law that response accords with asthma after through making a diagnosis and giving treatment and treating at the same time, can fix and diagnose.
Second, inspection assisting asthma to make a definite diagnosis of:
The typical one of symptom (such as not obviously having wheezing and physical sign) ,Should choose, check while being following according to detailed conditions, at least should have in the following three one item positive, combine, breathe heavily, can obviously relieve symptom and improve the lung function, may confirm and diagnose to treat while being flat.
1,The bronchus stimulates testing or sports and tests the masculine gender: The bronchus stimulates the test and often adopts histamine or acetyl A choline to suck the law. Suck histamine, accumulate dosage within the 7.8mmol or the intersection of choline and the intersection of density and 8mg/ml, A of acetyl, lung keep in touch with function (FEV1) Drop? 20% person are the high reactivity of angry way, it is the effective evidence of supporting bronchus asthma, generally suitable for keeping in touch with the function at trouble of or more of 70% of normal expected values
2,Test the masculine gender in bronchus relaxation: Suck the intersection of b2 and 15 minute under excited pharmaceutical, strengthen, breathe heavily, treat while being flat(use including hormone, so also claim hormone is tested) 1-2 weeks later, EFV1 increases by more than 15%, and absolute value increases gt; =200ml is positive, suitable for breaking out one, EFV1lt; 60% of the normal expected value person;
3,PEFR making a variation rate in a few days or the fluctuating rate is greater than or equal to 20% around the clock.
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