摘要
目的探讨慢性咳嗽的病因诊断。方法采用报道的慢性咳嗽诊断程序,对慢性咳嗽的病因进行分类,并针对病因进行特异性治疗。结果83例慢性咳嗽患者病因确诊率为96.4%(80/83)。其中咳嗽变异型哮喘(CAV)为34.9%(29/83),鼻后滴流综合征(PND s)为22.9%(19/83),胃-食管反流性咳嗽(GERC)为12.1%(10/83),嗜酸粒细胞性支气管炎(EB)为9.6%(8/83),其他病因为20.5%(17/83)。经过针对病因进行特异性治疗,有91.6%(76/83)患者咳嗽症状明显减轻或消失。结论CVA、PND s、GERC和EB是慢性咳嗽最常见的病因(79.5%);试验性病因治疗有效是确诊病因的重要环节。
Objective To explore the etiological diagnosis of chronic cough. Methods 83 patients with chronic cough were enrolled in the study. The diagnostic procedure based on the reported was applied to classify the etiopathogenisis of chronic cough. The treatment aimed directly at the cause of the disease. Results 80 of 83 cases of chronic cough were final diagnosed by etiopathogenisis, the ratio was 96.4 %. The causes included cough variant asthma （CVA） （29/83, 34.9% ）, postnasal drip syndrome （PNDs） （ 19/83, 22.9% ） , gastroesophageal reflux （GERC） （ 10/83,12. 1% ） and eosinophilic bronchitis （EB） （8/83, 9.6% ） and other causes （ 17/83, 20.5% ）. After active specific treatment aimed directly at the causes, the cough of patients improved and disappeared in 76 patients （91.6%）. Conclusions CVA,PNDs,GERC and EB were most common causes （66/83,79.5%） of chronic cough. A positive response to the specific therapy is essential to the diagnosis of etiopathogenisis.
出处
《实用全科医学》
2007年第4期314-315,共2页
Applied Journal Of General Practice
关键词
慢性咳嗽
病因
诊断
Chronic cough
Etiology
Diagnosis
