| 68例儿童慢性咳嗽的病因构成分析 |
| 投稿时间：2011-02-14 修订日期：2011-02-28 点此下载全文 |
| 引用本文：王屹,崔振泽,黄燕.68例儿童慢性咳嗽的病因构成分析[J].医学研究杂志,2011,40(10):107-110 |
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| 中文摘要:目的了解儿童慢性咳嗽的病因构成特点，为慢性咳嗽的病因诊治提供依据。方法选取2009年3～11月符合慢性咳嗽诊断标准的患儿共68例，对其进行逐步观察、评估、随访的前瞻性描述性研究，以分析儿童慢性咳嗽的常见病因构成。结果(1)诊断状况：确诊63例，确诊率92.6%，确诊病例中，单一病因42例，两重病因20例，三重病因1例。(2)病因构成：上气道咳嗽综合征32例次（35.2%）；呼吸道感染与感染后咳嗽28例次（30.8%）；咳嗽变异性哮喘26例次（28.6%）；胃食管反流性咳嗽4例次（4.4%）以及病因未明1例次（1.1%）。(3)同一年龄组患儿的病因构成并不相同，同一病因在不同年龄组的构成也不尽相同。结论(1)上气道咳嗽综合征、呼吸道感染与感染后咳嗽、咳嗽变异性哮喘及胃食管反流性咳嗽是儿童慢性咳嗽的常见病因。(2)上气道咳嗽综合征是儿童慢性咳嗽的首位病因。(3)呼吸道感染与感染后咳嗽，贯穿于儿童慢性咳嗽的各个年龄组。 |
| 中文关键词:慢性咳嗽 病因 儿童 |
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| Analysis on Etiology of 68 Children with Chronic Cough |
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| Abstract:ObjectiveTo observe the distribution of the causes of children with chronic cough and provide scientific foundations for practical diagnosis. Methods68 children meeting the diagnostic criteria of chronic cough in children were selected in Dalian Children Hospital from March 2009 to November 2009 as subjects for the study. Prospective and descriptive studies by were carried out means of gradual observation, assessment and follow-up in order to analyze the causes of chronic cough. Results1.The diagnosis conditions of 68 patients: there were 63 final diagnosis, with the rate of 92.6%.There were 20 cases of double causes,and 1 case of triple causes.2. The constitution of etiology in 68 patients: 32 with the upper airway cough syndrome (35.2%).28 with respiratory tract infection and postinfectious cough (30.8%).26 with cough variant asthma (28.6%),4 with gastroesophageal reflux cough (4.4%) and 1 case of unknown etiology (1.1%).3.The causes in the same age groups were different,and also the same cause in different age groups was different. Conclusion1. Upper airway cough syndrome, respiratory tract infection and postinfectious cough, cough variant asthma and gastroesophageal reflux cough are the most common causes of chronic cough in children. 2. Upper airway cough syndrome is the most common cause of chronic cough. 3. Respiratory tract infection and postinfectious cough run through the various stages of children with chronic cough. |
| keywords:Chronic cough Etiology Children |
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