TY -的T1 -一个35岁的男性慢性咳嗽JF -欧洲呼吸杂志》乔和J SP - 608 LP - 611欧元——六世盟- 29 - 3 - 10.1183/09031936.00099706 c Moschos AU - i Kalomenidis盟- c·鲁索斯盟- g . t . Stathopoulos Y1 - 2007/03/01 UR - //www.qdcxjkg.com/content/29/3/608.abstract N2 - 35-yr-old男性在门诊检查目前的作者的部门。他抱怨干阵发性咳嗽的不确定的起源,他注意到3个月前。咳嗽,喉咙痒的感觉。没有咳嗽耀斑和食物之间的联系,鼻涕,季节,每天的时间或身体的姿势。病人不记得有兼容上呼吸道病毒感染症状在过去3个月,无胃肠道症状如每日胃灼热和返流。他住在城里时,是一个终身不抽烟的人,他以前的病史是不起眼的,他没有服用任何药物。他担任电子工程师在烟雾和无尘环境中,表现出一种个性。咳嗽的外观在3个月前,他被医生检查,自收到吸入氟替卡松加沙美特罗(50μg b.i.d)和fluticasone(250μg b.i.d),没有改善。正在进行体检和常规实验室检测,包括白细胞计数和微分、红细胞计数、红细胞沉降率、肝脏和肾脏功能测试,血清c反应蛋白和一个心电图正常。胸部(图1⇓)和副鼻窦(图中未显示)射线照片。 Ear, nose and throat assessment was unremarkable. After discontinuing treatment with inhaled salmeterol and fluticasone, simple spirometry pre- and post-bronchodilator (four puffs of 100 μg salbutamol) and bronchoprovocation challenge with methacholine were performed (fig. 2⇓). The patient was given a peak flow meter and during a monthly observation period his diurnal peak flow variation was below 5% (data not shown).Fig. 1— Chest radiograph showing a) posterior-anterior view and b) lateral view.Fig. 2— Pulmonary function tests of a) flow–volume plot and b) volume–time curve. … ER -