摘要
目的 探讨慢性咳嗽的诊断和治疗。方法 采用解剖学诊断程序 ,对 10 4例胸片正常的慢性咳嗽患者进行诊断分析 ,并行特异性治疗。结果 鼻后滴漏综合征 (PNDS) 3 9例 ,咳嗽变异型哮喘 (CVA) 2 2例 ,胃食管反流 (GERD) 19例 ,在该 3种病因中双病因以上为 15例 ,其它 9例 ,其中支气管内膜结核 7例 ,肺癌 2例。经特异性治疗后患者咳嗽症状缓解。结论 解剖学诊断程序在胸片正常慢性咳嗽患者的诊断中具有重要作用 ,PNDS、CVA、GERD为最常见慢性咳嗽 3种病因 ,占总病种数的 89% ,特异性治疗效果好 ;纤维支气管镜检查对诊断肺癌和支气管内膜结核显得尤为重要。
Objective To explore the clinical diagnosis and therapy of chronic cough with normal chest radiographs. Methods A total of 104 patients with chronic cough but with normal chest radiographs were diagnosed with an anatomic diagnostic protocol and treated with a specific therapy. Results A cause for the cough was identified as follows: postnasal drip syndrome (PNDS) in 39 cases, cough variant asthma (CVA) in 22 cases, gastro-esophageal reflux disease (GERD) in 19 cases, more than two of these three causes in 15 cases, and other conditions (endobronchil tuberculosis in 7 cases and lung cancer in 2 cases). After specific therapy, all patients achieved complete remission of coughs. Conclusion The anatomic diagnostic protocol plays an important role in the diagnosis of chronic cough with normal radiographs. PNDS, CVA, and GERD are the most common etiological factors in chronic cough with normal chest radiographs. The specific therapy is very effective. Fiberoptic bronchoscopy is essential in the diagnosis of endobronchil tuberculosis and lung cancer.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2004年第23期2162-2164,共3页
Journal of Third Military Medical University
关键词
慢性咳嗽
解剖学诊断程序
诊断
治疗
chronic cough
anatomic diagnostic protocol
diagnosis
therapy
