慢性咳嗽病因及临床研究

Chronic Cough Cause of Disease and Clinical Research

目的分析慢性咳嗽的病因分布及诊治现状。方法以2003年至2007年我院诊治的180例胸片正常的慢性咳嗽患者进行研究。结果嗜酸细胞性支气管炎为慢性咳嗽首位病因,占20%,慢性支气管炎仅占5%,47%的病例为呼吸系统以外的疾病引起的咳嗽,32%的病例由多种病因重叠引起的咳嗽。84%的病例均有被误诊,最长误诊时间达6年,且并发症高达30%。确诊后治疗,90%的患者1～2周内咳嗽症状消失。结论慢性咳嗽病因复杂,误诊率高,并发症多,予以特异性治疗效果好,故明确病因是治疗的关键。

Objective To analyze the cause of chronic cough, diagnosis and treatment of the status quo. Methods 2003--2007 in our hospital diagnosis and treatment of 180 cases of normal chest radiography in patients with chronic cough were studied. Results Eosinophilic bronchitis results for the first cause of chronic cough, or 20% , chronic bronchitis accounted for only 5%, 47% of cases of respiratory diseases caused by other than the cough, 32% of cases caused by a variety of overlapping causes the cough. 84% of the patients had been misdiagnosed, the longest time for misdiagnosis six years, and the complications up 30%. diagnosed after treatment, 90% of patients within 1 to 2 weeks of cough symptoms disappeared. Conclusions Complex etiology of chronic cough, high misdiagnosis rate of complications, be specific therapeutic effect, and it clear cause is the key to treatment.