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按解剖学定位法诊断程序对173例慢性咳嗽的诊断分析 被引量:7

Diagnosis of Chronic Cough by Anatomical Diagnostic Protocol: Analysis of 173 Cases
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摘要 目的:通过解剖学定位法诊断程序确诊慢性咳嗽病因,以减少漏误诊。方法:对173例慢性咳嗽者采用Richard Irwin提出的解剖学定位法进行诊断性随访。结果:173例中有67例被误诊为急、慢性支气管炎和慢性咽炎,误诊率38.7%。结论:按照解剖学定位法对慢性咳嗽进行病因诊断具有较高的使用价值。 AObjective:To make a confirmed diagnosis of chronic cough with Anatomic Diagnostic Protocol (ADP) in order to reduce missed and mistaken diagnosis of the disease. Methods:According to Richard Irwin's Cough Anatomical Diagnostic Protocol, 173 cases of chronic cough were diagnostically followed up. Results:Out of the 173 cases, 67 cases were misdiagnosed with acute and chronic bronchitis and chronic pharyngitis before application of Richard Irwin's Anatomical Diagnostic Protocol with a misdiagnosis rate of 38.7% , whereas the correct rate of diagnosis was 96.5% ( 167/173 ) after adoption of ADP. Conclusions:Anatomical Diagnostic Protocol (ADP) was valuable in enhancing diagnosis accuracy and in reducing prevalence of misdiagnosis,
出处 《临床误诊误治》 2005年第8期542-543,共2页 Clinical Misdiagnosis & Mistherapy
关键词 咳嗽 病因 解剖学定位方法 误诊 Cough Etiology Anatomical Diagnostic Protocol Misdiagnosis
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参考文献4

  • 1Pratter MR, Bartter T, Aker S, et al. An algorithmic approach to chronic cough[ J ]. Ann Intern Med, 1993,119:977-983.
  • 2Irwin RS, Corrao WM, Pratter MR. Chronic persistent cough in the adult: the spectrum and frequency of causes and successful outcome of specific therapy[ J]. Am Rev Respir Dis,1981,123:413-417.
  • 3吕寒静,邱忠民,杨忠民,魏为利,王岚,刘瑞麟.解剖学方法对慢性咳嗽病因的诊断价值[J].同济大学学报(医学版),2003,24(5):420-422. 被引量:16
  • 4Irwin RS, Madison JM. Anatomical diagnostic protocol in evaluating chronic cough with specific reference to gastroesophageal reflux disease [ J ]. Am J Med, 2000, 108: 126-130.

二级参考文献8

  • 1Irwin RS, Madison JM. Anatomical diagnostic protocol in evaluating chronic cough with specific reference to gastroesophageal reflux disease [ J ]. Am J Med, 2000, 108(suppl 4A) : 126S- 130S.
  • 2Palombini BC, Villanova CAC, Araujo E, et al. A patheogenic triad in chronic cough: asthma, postnasal drip syndrome, and gastroesophageal reflux disease[J]. Chest, 1999,116(2) :279 - 284.
  • 3Poe RH, Kallay MC. Chronic cough and gastroesophageal reflux disease: experience with specific therapy for diagnosis and treatment [ J ]. Chest,2003,123 (3) : 679 - 684.
  • 4Pratter MR, Bartter T, Aker S, et al. An algorithmic approach to chronic cough[J]. Ann Internal Med, 1993, 119(10) :977 - 983.
  • 5French CT, Irwin RS, Fletcher KE, et ol. Evaluation of a cough specific quality of life questionnaire [ J ]. Chest, 2002,121(4) : 1123 - 1131.
  • 6Irwin RS, Curley FJ, French CL. Chronic cough, the spectrum and frequency of causes, key components of the diagnostic evaluation, and outcome of specific therapy [ J ]. Am Rev Respir Dis, 1990,141 (3) : 640 - 647.
  • 7Brightling CE, Ward R, Goh KL, et al. Eosinophilic bronchitis is an important cause of chronic cough[J ]. Am J Respir Crit Care Med, 1999,160(2) :406 - 410.
  • 8许文兵.慢性咳嗽诊断的进展[A].见:蔡柏蔷主编.高级医师案头丛书-呼吸内科学[C].北京:中国协和医科大学出版社,2000..

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