咳嗽变异性哮喘56例

CHILDREN COUGH VARIANT ASTHMA IN 56 CASES

目的 提高对咳嗽变异性哮喘 (CVA)的认识。方法 对 1 999年 9月— 2 0 0 3年 6月外院误诊和延治、经我院儿科诊断和治疗56例CVA患儿的临床和实验室资料进行回顾性分析。结果 CVA患儿吸入糖皮质激素和 β2 受体激动剂为基础治疗 ,3～ 5d后咳嗽基本停止 ,继续用药 2周后 ,再用酮替酚巩固疗效 3个月。基本无再发咳嗽 ,治疗过程中未发现明显副作用。结论 长期咳嗽应用抗生素疗效差又排除其他引起慢性咳嗽疾病者应考虑CVA ,用吸入糖皮质激素 ,β2

Objective To improve the knowledge of cough variant asthma. Methods 56 children with cough variant asthma(CVA) were treated by our hospital,which were miss diagnosed and delaied in other hospitals between September 1999 to June 2003. Results Children with CAV received inhaling cortisol hormone and β 2 addrenoceptor agonists as basic treatment,cough was almost released in 3 to 5 days treatment.After taking 2 weeks treatment with inhaling cortisol hormone and β 2 adrenoceptor agonists and then changing ketitofen for 3 months as addition treatment,the children were almost totally recovered. Conclusion Children,who eliminate other facts leading to chronic cough disease and can not get good result with long term antibiotic treatment,should be considered as CVA.We suggest that CVA children could be performed treatment by inhaling Cortisol hormone,β 2 adrenoceptor agonists and Ketotifen,it might have good results.