70例慢性咳嗽患者的病因分析

Analyss the causes of 70 patients with Chronic Cough

目的总结慢性咳嗽的诊断体会。方法按照Irwin小组提出的慢性咳嗽解剖诊断程序分析2003年7月至2007年7月我院就诊的70例慢性咳嗽患者临床资料。结果70例慢性咳嗽患者中,哮喘占24.5%,鼻后滴漏综合症占20.8%,胃食管反流病占17%,心功能不全占15.1%,因服用转化酶抑制剂类降压药致咳11.3%,支气管内膜结核占3.8%,肿瘤5.7%,声带息肉1.9%。结论慢性咳嗽病因复杂,临床医生要重视慢性咳嗽的临床诊治。

Objective To conclude the diagnostic experience in chronic cough, Method Analyse 53 patients with chronic cough consecutively according to anatomically diagnostic protocol made by Irwin team. Result Among 53 patients with chronic cough, asthma was a cause accounting for 24.5%, postnasal drip syndrome 20.8%, gastroesophageal reflux 17%, heart failure 15.1%, ACE inhibitorinduced cough 11.3%, cancer 5.7%. Conclusion Because of complicated causes of chronic cough, physicians should pay attention to the diagnosis of chronic cough.