摘要
目的探讨小儿咳嗽变异性哮喘(CVA)咳嗽特点和诊断要点。方法对40例符合CVA诊断标准的患儿,通过详细地询问病史和体格检查,结合X线胸片和末梢血象等临床资料进行总结。结果多数CVA患儿(35/40)为吸入冷空气及运动后发生咳嗽,多在夜间及清晨发作(24/40),全部病例有咳无喘,32例为干咳。全部患儿无明显的阳性体征。26例有个人过敏史及过敏性家族史。全部病人应用气管扩张剂及糖皮质激素治疗有效。结论CVA是一种与过敏有关的特殊类型的哮喘,慢性干咳、无喘、无热、无明显阳性体征为其特点。
Objective To discuss the feature of childhood cough variant asthma （CVA） and evaluated their characteristics and differential diagnose. Methods and history of 40 cases CVA were investigated.Results 100% cases had cough and no - asthma. Without positive physical signs, totally 40 cases with antibiotic therapy no effective and inhaled corticosteroids were effective. Conclusion Most CVA children patients have the characteristics cough which is greatly in relation to allergic factors.
出处
《黑龙江医学》
2009年第12期929-930,共2页
Heilongjiang Medical Journal
关键词
咳嗽变异性哮喘
儿童
Cough variant asthma
Childhood
