摘要
目的：探讨小儿咳嗽变异性哮喘的误诊原因。方法：对附一医院1996年7月～1998年7月间误诊的44例小儿咳嗽变异性哮喘（CTA）则进行临床分析。结果：小儿咳嗽变异性哮喘因缺乏特异的临床体征，易与复发上感、支气管炎、百日咳、间质性肺炎、肺门淋巴结核相混淆，严重影响了CVA的治疗。结论：加强对CVA疾病的普及教育，提高认识，对慢性咳嗽病儿无肺部阳性体征，病程未满一月，排除其他疾病者按疑诊CVA给予规则治疗，建立随访制度。
Objective: To study the factors of cough variant asthma(CVA) misdiagnosed in chi1dren. Methods: 44 clinical cases with cough variant asthma misdiagnosed in our hospital during the years 1996 to 1998 were analysed. Re-sults: COugh variant asthma in children was usually taken for upper respiratory infections, bronchitis, mycoplas-mal pneumonia, whooping-cough and tuberculosis of bronchial lymph nodes in diagnosis. The misdiagnosis ex-tremely affected the therapy of CVA. Conclusion: People's know ledge of cough variant asthma should be en-hanced. Great attention should be paid to this disease. Children with chronic cough and no pulmonary signs and ahistory of less than 4 weeks should receive regular CVA treatment and follow-up after other diseases were ruled-out.
