摘要
目的对慢性咳嗽常见病因的临床特征进行研究,分析其对各病因诊断的价值。方法选取2008年1月—2009年12月门诊就诊的慢性咳嗽初诊患儿496例,按慢性咳嗽诊断程序作出慢性咳嗽初步诊断并按时随访,根据随访患儿治疗效果得出最终诊断。结果 496例患儿中感染后咳嗽(PIC)69例,咳嗽变异性哮喘(CVA)和变应性咳嗽(AC)219例,上气道咳嗽综合征(UACS)139例。CVA的临床特征主要为夜间咳嗽、干性咳嗽、特应性体质;UACS的临床特征主要为湿痰咳嗽、晨起咳嗽。结论儿童慢性咳嗽主要病因为CVA、UACS、AC和PIC。各种病因的慢性咳嗽具有其主要的临床特征,其病因构成及临床特征可为经验性诊治慢性咳嗽提供参考。
Objective To research the clinical features of the common cause of chronic cough in children and investigate the value of them in diagnosis.Methods From January 2008 to December 2009,496 children were primarily diagnosed as chronic cough according to the diagnostic procedure of chronic cough.The final diagnosis was confirmed based on the follow-up treatment.Results Among the 496 children,cough post infections(PIC)was 69 cases,cough variant asthma(CVA)and atopic cough(AC)were 219 cases,and upper airway cough syndrome(UACS)was 139 cases.The main clinical features of CVA included night time cough,dry cough and atopy.The main clinical features of UACS were wet cough and early morning cough.Conclusions The main causes of chronic cough in children were CVA,UACS,AC and PIC.The causes of chronic cough and the clinical feature can provide references for the empirical diagnosis and treatment of chronic cough.
出处
《临床儿科杂志》
CAS
CSCD
北大核心
2012年第2期135-137,共3页
Journal of Clinical Pediatrics
基金
温州市科技计划项目(No.Y20090050)
浙江省研究生创新科研项目(No.YK2008080)
关键词
慢性咳嗽
临床特征
儿童
chronic cough
clinical feature
child
