儿童咳嗽变异性哮喘49例临床分析

The clinical analysis of 49 children with cough variant asthma

目的探讨儿童咳嗽变异性哮喘（CVA）的诊治方法。方法回顾性分析49例CVA患儿的临床资料。结果49例患儿中男27例，女22例；年龄1～3岁11例，4～6岁25例，7～12岁13例；病程1～24个月。发病季节：冬春季31例，夏季7例，秋季11例。49例患儿中显效32例，有效15例，无效2例。49例患儿中8例诊断为CVA，误诊为支气管炎者24例，上呼吸道感染11例，慢性咽炎者3例，鼻窦炎2例，支气管异物1例。经积极治疗后显效32例（65．3％），有效15例（30．6％），无效2例（4．1％）。结论CVA临床表现无特异性，误诊率高；扩张支气管及抗炎治疗临床效果较好。

Objective To approach the clinical manifestations of childhood cough variant asthma, and summarize the diagnosis and treatment experience. Methods Retrospective analyzed the clinical data of 49 children with cough variant asthma. Results In 49 children patients,male 27 eases,female 22 cases;Age：1 - 3 years old（ 11 cases ） ,4-6 years old （ 25 cases） ,7 - 12 years old （ 13 cases） ; Duration ： 1 ~ 24 months ; Incidence season ：wintry spring （ 31 cases） , summer（ 7 eases） , autumn （ 11 cases ）. Diagnosis ： CAV was 8 cases, and 24 cases were misdiagnosed as bronchitis, 11 cases were misdiagnosed as upper respiratory tract infection ,3 cases were misdiagnosed as chronic phar- yngitis,2 cases were misdiagnosed as sinusitis,1 case was misdiagnosed as bronchial foreign body. In 49 children patients,32 cases were significantly effective, 15 cases effective and 2 cases noneffective. Conclusion The clinical manifestations of CAV was nospeeific, and misdiagnosis rate was high. Effect of treatment with expansion bronchical and anti-infection methods was good.