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老年支气管哮喘患者的鉴别诊断
引用本文:赵晓平,;徐圣君.老年支气管哮喘患者的鉴别诊断[J].中国卫生产业,2014(29):28-29.
作者姓名:赵晓平  ;徐圣君
作者单位:[1]成都市第五人民医院老年病区呼吸内科,四川成都611130; [2]成都市第五人民医院重症医学科,四川成都611130
摘    要:目的探讨临床老年支气管哮喘患者的鉴别诊断方法。方法结合我院在2013年1月—2014年3月收治的60例老年患者,使用一氧化氮测定仪检测呼出气一氧化氮的水平,结合临床症状和舒张实验为标准,绘制ROC曲线,鉴别老年支气管哮喘疾病。结果在鉴定的60例患者中,36例患者诊断结果为老年支气管哮喘。其余的24例患者临床激发试验为阴性,确定为非哮喘患者。结论一氧化氮检测老年支气管哮喘具有很强的特异性和敏感性,值得推广。

关 键 词:老年支气管哮喘  鉴别诊断  一氧化氮

The differential diagnosis of elderly patients with bronchial asthma
Institution:ZHAO Xiaoping ,XU Shengjun( 1.The geriatric wara Department of internal medicine Fifth people's Hospital of Chengdu City,Chengdu 611130 ,China;2.Severe medicine, Fifth peple's Hospital of Chengdu,Chengdu 611130 ,China)
Abstract:Objective To explore the methods for differential diagnosis of patients with senile bronchial asthma. Methods Took 60 elderly patients treated in this hospital during 2013 January -2014 March, measurement of exhaled nitric oxide nitric oxide levels,combined with clinical symptoms and relaxation experiments as the standard, to draw the ROC curve, the differential diagnosis of bronchial asthma in the elderly. Results In 60 cases of identification of the patients, 36 patients for the diagnosis of bronchial asthma in the elderly. In 24 patients the provocation test was negative, identified as non asthma patients. Conclusion Detection of nitric oxide in bronchial asthma in the elderly with strong specificity and sensitivity, worthy of promotion.
Keywords:Elderly bronchial asthma  Differential diagnosis  Nitric oxide
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