Don’t always call chest tightness, someone called to really diagnose lung disease, chest tightness asthma to understand

Miss Wang is a 30-year-old white-collar worker. She is not busy with her work. In the past six months, she has repeatedly had chest tightness at night, and always feels that she is short of breath. She has visited the cardiology clinic of major hospitals for many times. She has no problems with chest CT, ECG and some indicators of blood. Some doctors even suspected that she was a neurosis, and suggested to see a psychiatrist. Miss Wang is very distressed. She doesn’t have any unhappy life and no emotional and psychological changes. How can she go to see a psychiatrist. Therefore, Miss Wang came to the outpatient department of our hospital. After asking about the medical history and family history, Miss Wang usually has rhinitis, but the attack is relatively small, and her mother has a history of asthma. Can it be “chest tightness variant asthma”? After asthma related examination, Miss Wang is indeed suffering from chest tightness asthma. We say that typical asthma is characterized by paroxysmal wheezing, shortness of breath and cough. There is also a cough only symptom of asthma, cough variant asthma. In recent years, respiratory experts in China have found that there is atypical asthma with chest tightness as the only symptom, which is named chest tightness variant asthma. < p > < p > the most common variant asthma patients with chest tightness were young and middle-aged, and the onset was hidden. Patients feel chest tightness, chest tightness, suffocation, etc. chest tightness can be induced after activities. Some patients have more frequent attacks at night, and there are no typical asthma manifestations such as recurrent wheezing and shortness of breath, and there is no wheezing sound during auscultation of the lung. Most patients have family history of asthma, allergic rhinitis or skin allergy. Generally, the prevalence of asthma in relatives is higher than that in population, and the closer the relationship is, the higher the prevalence is. < p > < p > chest tightness variant asthma mostly tends to the theory of airway wall inflammation. Typical asthma wheezing, shortness of breath and cough are caused by excessive spasm of airway smooth muscle and congestion and edema of airway mucosa. If the inflammation of airway wall exists, but the pathological changes of airway are slight, the spasm of airway smooth muscle and congestion and edema of airway mucosa are not obvious, it can simply show a symptom of chest tightness. The diagnostic criteria of variant asthma with chest tightness were as follows: chest tightness lasted or repeated for more than 8 weeks, and chest tightness was the only symptom. There was no typical asthma such as wheezing, shortness of breath and cough. There was no wheezing sound during auscultation. Bronchial provocation test and bronchodilation test were positive. Antiasthmatic drugs, bronchodilators and glucocorticoids were effective. Excluding cardiovascular system, digestive system, nervous system and other diseases that may cause chest tightness. < p > < p > the treatment of variant asthma with chest tightness is the same as that of common asthma, and it is generally effective for inhaled glucocorticoids and long-acting β 2 receptor agonists. As long as correct diagnosis and treatment, symptoms can be relieved to varying degrees within two to three weeks after treatment. Small habits of pregnancy not only affect the health of pregnant mother, but also delay the development of the fetus, don’t ignore