咳嗽变异性哮喘临床分析

Clinical Analysis Of Cough Variant Asthma On 54 Patients

目的探讨咳嗽变异性哮喘(CVA)的临床特征及诊治措施,以提高其诊断率,减少误诊误治。方法回顾性分析54例CVA患者的临床资料及治疗方法。结果本组病例均以慢性咳嗽为主要症状,临床表现不典型,误诊率高,确诊后经吸入糖皮质激素和β2-受体激动剂治疗有显效。结论 CVA是一种特殊类型的哮喘,临床表现不典型,极易被误诊,应提高对该病的认识,尽可能早期诊断,并给予规律治疗。

Objective Explore the clinical features、diagnosis and treatment measures of the cough variant asthma（CVA）,and to investigate measures to improve its diagnosis,reducing misdiagnosis dealt.Methods Clinical manifestation diagnosis and treatment of 54 cases with CVA of my courtyard were analyzed retrospectively.Results The main symptoms was chronic intractable cough,clinical manifestation was not typical,the misdiagnosis rate is high.After diagnosis,the inhalation of glucocorticoid and β2-agonists treatment had a marked effect on CVA.Conclusion CVA is a special type of asthma,clinical manifestation was not specific and could easily be misdiagnosed.We should enhance the awareness of the disease,as far as possible early diagnosis and regular treatment.