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223例慢性咳嗽病因分析 被引量:2

Etiological Analysis of 223 Cases with Chronic Cough
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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
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参考文献13

  • 1Irwin RS, Corrao WM, Pratter MR. Chronic persistent cough in the adult: the spectrum and frequency of cause and successful outcome of specific therapy[J]. Am Rev Respir Dis, 1981, 123 : 413 - 417.
  • 2钟南山,赖克方.重视慢性咳嗽的病因诊断与治疗[J].中华结核和呼吸杂志,2005,28(11):737-737. 被引量:82
  • 3Irwin RS, Curley FJ, French CL. The spectrum mad frepueney of cause, keycomponents of the diagnostic evaluation, and outcome of specific therapy[J]. Am Rev Respir Dis, 1990, 141:640 - 647.
  • 4马洪明,朱礼星,赖克方,朱彤,孙宝清,欧阳铭,钟南山.不明原因慢性咳嗽的诊断探讨[J].中华结核和呼吸杂志,2003,26(11):675-678. 被引量:221
  • 5Kastefik JA, Redington AE, Aziz I, et al. Abnormal oesophageal motility in patients with chronic cough [J]. Thorax, 2003, 58 (8):699- 702.
  • 6HamamotoJ, kohrogi H, Kawano O, et al. Esophageal stimulation by hydrochloric and causes neurogenic inflammation in the airwasy in guinea pigs[J]. Appl physiol, 1997, 82(3):738 - 745.
  • 7Kennedy A J, Ngu MC. Cough and gastro- oesophayeal reflux [J]. Lanest, 1999, 353(9157):944-946.
  • 8朱礼星,马洪明,钟南山.支气管哮喘患者与胃食管返流的症状相关性[J].中华结核和呼吸杂志,2002,25(12):739-743. 被引量:25
  • 9Gibsomn PG, Dolovich J, Denburg J, et al. Chronic cough: eosinophilic bronchitis without asthma[J]. Lancet. 1989, 1:1346 - 1348.
  • 10Gibson PG. How to measure airway infilmmatiom:induced sputum[J]. Can Respir , 1998, 5Suppl: 2 - 26.

二级参考文献22

  • 1Carmona Sanchez R,Valdovinos Diaz MA,Facha MT,et al. Gastroesophageal reflux in asthmatic patients:an incidence study and clinical correlation.Gac Med Mex,1999,135:471-475.
  • 2Harding SM, Guzzo MR, Richter JE. 24-hour esophageal pH testing in asthmatics: Respiratory symptom correlation with esophageal acid events. Chest, 1999 ,115:654-659.
  • 3Weusten BL,Roelofs JM,Akkermans LM, et al. The symptom association probability: an improved method for symptom analysis of 24-hour esophageal pH date.Gastroenterology, 1994,107:1741-1745.
  • 4Mittal RK,Balabaan DH. The esophagogastric junction. N Engl J Med, 1997,336:924-932.
  • 5刘天文 陈宝元 王帮茂 等.支气管哮喘患者胃食管返流的相关研究[J].中华结核和呼吸杂志,2000,8:506-506.
  • 6Field SK. Gastroesophageal reflux and asthma: can the paradox be explained? Can Respir J, 2000,7:167-176.
  • 7Irwin RS, Corrao WM, Pratter MR. Chronic persistent cough in the adult:the spectrum and frequency of cause and successful outcome of specific therapy.Am Rev Respir Dis,1981,123:413-417.
  • 8Irwin RS, Curley FJ, French CL. Chronic cough. The spectrum and frequency of cause,key components of the diagnostic evaluation, and outcome of specific therapy. Am Rev Respir Dis, 1990,141:640-647.
  • 9Rolfe MW, Alberts WM. The chronic persistent cough. Compr Ther, 1996, 22:615-621.
  • 10Hargreave FE, Leigh R. Induced sputum, eosinophilic bronchitis, and chronic obstructive pulmonary diease. Am J Respir Crit Care Med, 1999,160(5 Pt 2):S53-S57.

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