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编号:11026733
慢性咳嗽125例临床研究
http://www.100md.com 《中华现代内科学杂志》 2006年第7期
慢性咳嗽;病因;诊断,,慢性咳嗽;病因;诊断,1资料与方法,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨慢性咳嗽的病因及诊治现状。方法 以2005年呼吸科诊治的125例慢性咳嗽患者进行研究。结果 慢性咳嗽病因中的咳嗽变异性哮喘(CVA)及鼻后滴流综合征(PNDs)最多,52.8%的病例为呼吸系统以外的疾病引起的咳嗽,36.8%的病例由多种病因重叠引起的咳嗽。100%的病例均有被误诊,最长误诊时间达30个月,且并发症高达27.2%。确诊后治疗,90.3%的患者1~2周内咳嗽症状消失。结论 慢性咳嗽病因复杂,误诊率高,并发症多,临床医师应重视慢性咳嗽的诊断和治疗。

    【关键词】 慢性咳嗽;病因;诊断

    Clinical investigating of 125 cases of chronic cough

    LIU Xin-yan,GU Zong-yuan,WANG Lei.Department of Respiratory Medicine,Putuo Hospital Affilated to Shanghai University of Traditional Chinese Medicine,Shanghai 200062,China

    【Abstract】 Objective To explore the etiology and the status quo of diagnosis and treatment with chronic cough.Methods 125 cases of chronic dough treated in 2005 were studied.Results Drip syndrome were most in the etiology with chronic cough.In the 52.8% of cases,the cough was due to the ill outside respiratory system.The cough was due to various etiologies in the 36.8% of cases.The diagnosis was mistook in all patients.There were complication in the 27.2% of patients.After diagnosis,the cough was disappeared in the 90.3% of cases within 2 weeks.Conclusion After diagnosis,the cough was disappeared in the 90.3% of patients within 2 weeks.The etiology of the chronic cough was complex.The rate of mistook diagnosis was higher.The physician must pay attention to the diagnosis and treatment with chronic cough. ......

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