摘要
目的:研究慢性咳嗽的临床诊断、病因分析和特异性治疗。方法:参考Irwin等的解剖学诊断程序,通过痰或诱导痰查嗜酸细胞计数,针对病因进行特异性治疗等方法,对慢性咳嗽的病因进行分类。结果:通过对223例慢性咳嗽患者进行研究发现,慢性咳嗽的常见病因是:咳嗽变异型哮喘、鼻后滴漏综合征、感冒后咳嗽、支气管内膜结核、嗜酸粒细胞支气管炎、胃食道返流综合征;病因确诊率98.7%。结论:感冒后咳嗽,支气管内膜结核也是慢性咳嗽的常见病因。特异性治疗是确诊的重要环节。
Objective:To investigate the diagnosis,frequency of causes and specific therapy for chronic cough.Methods:The diagnostic procedure was based on the anatomical protocol for diagnosing chronic cough designed by Irwin.And additional cytological assay was performed for sputurn induced by hypertonic saline aerosol inhalation.The efficacy of therapy specific to the diagnosis was evaluated.Results:Two hundred and twenty-three patients were evaluated.The most common reason for chronic cough are:cough variant asthma(CVA).Postnasal drip syndrome(PNDS) postinfections cough,bronchotuberculosis(BTB),eosinophilic bronchitis(EB)and gastroesophageal reflux.Definite diagnosis was made in 98.7%.Conclusions:A positive response to the specific therapy is essential to a definite diagnosis.Postinfections cough and bronchota berculosis is also an important cause of chronic cough.
出处
《内蒙古医学杂志》
2009年第12期1462-1464,共3页
Inner Mongolia Medical Journal
关键词
慢性咳嗽
病因
特异性治疗
Chronic cough
Etiology
Specific therapy