咳嗽变异性哮喘43例误诊分析

Analysis of Misdiagnosis of 43 Cases of Cough Variant Asthma

目的分析咳嗽变异性哮喘(C V A)的临床特点及分析误诊原因,提高诊断水平。方法对43例被误诊的咳嗽变异性哮喘的临床表现、实验室检查、治疗及转归进行回顾性分析。结果43例患者误诊为急性支气管炎15例、急性上呼吸道感染10例、慢性支气管炎8例、慢性咽炎6例、慢性扁桃体炎2例、反流性食管炎2例。结论CVA容易误诊,临床医生应提高认识。

Objective To investigate the reasons of misdiagnosis on cough variant asthma(CVA),analysis of the clinical characteristics and Improve the level of diagnosis.Methods 43 cases of misdiagnosis of cough variant asthma clinical manifestation,laboratory examination,treatment and outcome were retrospectively analyzed.Results Only symptom,cough for CVA pro-ocation tests positive,increased lung function in airway reactivity.43patients were misdiagnosed as acute bronchitis 15 cases,10 cases of acute upper respiratory tract infection,chronic bronchitis 8 cases,6 cases of chronic pharyngitis,chronic tonsil itis in 2 cases,reflux esophagitis in 2 cases.Conclusion CVA,easy misdiagnosis,clinical doctors should raise awareness.