小儿咳嗽变异性哮喘35例临床分析

Analysis on Misdiagnosis of 35 Cases of Infantile Cough Variant Asthma

目的 :探讨小儿咳嗽变异性哮喘的误诊原因 ,提高其诊断率。方法 :对 35例小儿咳嗽变异性哮喘的误诊情况进行了回顾分析。结果 :小儿咳嗽变异性哮喘易误诊为 :支气管炎、反复呼吸道感染、百日咳、支原体肺炎等多种呼吸道疾病。结论 :提高临床医生对该病的认识 ,仔细询问病史 ,正确的临床思维方法 。

Objective To study the reasons for misdiagnosis of infantile cough variant asthma(CVA) and improve its diagnostic rate.Methods The misdiagnosis of 35 cases of infantile CVA was reviewed and analysed.Results Infantile CVA in these patients was misdiagnosed as other diseases,such as bronchitis,infection of respiratory tract.Pertussis mycoplasmal pneumonia,etc.Conclusion The misdiagnosis can be avoided by inquiring history carefully,hightening doctors'awareness of CVA,having right clinical thinking and using drugs properly.