| 上呼吸道内镜检查在慢性咳嗽诊断和治疗中的意义 |
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| 引用本文： | 薛令军,孙文海,李大建,刘新义,张恩东,刘艳,孙彩波. 上呼吸道内镜检查在慢性咳嗽诊断和治疗中的意义[J]. 山东大学耳鼻喉眼学报, 2007, 21(3): 224-226 |
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| 作者姓名： | 薛令军 孙文海 李大建 刘新义 张恩东 刘艳 孙彩波 |
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| 作者单位： | 青岛大学附属威海医院耳鼻咽喉-头颈外科,山东,威海,264200;青岛大学医学院附属医院耳鼻咽喉-头颈外科,山东,青岛,266023 |
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| 摘 要： | 目的：探讨上呼吸道内镜检查在慢性咳嗽诊断和治疗中的临床意义。方法：选取120例慢性咳嗽患者，通过采集病史、上呼吸道内镜检查及相关辅助检查进行病因分析，并针对病因进行治疗。结果：鼻后滴漏综合征47例，嗜酸细胞性支气管炎及咳嗽变异型哮喘32例，胃食管反流性咳嗽35例，癔病性病因2例，原因不明4例。98例患者3～7d内咳嗽明显好转，106例2周内自觉咳嗽明显好转，106例患者于咳嗽消失1周后停药，14例转入儿科及心理科。结论：慢性咳嗽病因复杂，应综合分析后治疗，常见病因有鼻后滴漏综合征、胃食管反流病及咳嗽变异型哮喘等，上呼吸道内镜检查可观察上呼吸道细微病变，有助于及时明确病因。
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| 关 键 词： | 咳嗽 内窥镜术 诊断 呼吸系统 |
| 文章编号： | 1673-3770（2007）03-0224-03 |
| 收稿时间： | 2007-05-10 |
| 修稿时间： | 2007-05-102007-06-02 |
Upper respiratory tract endoscopy in the diagnosis and treatment of chronic cough |
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| XUE Ling-jun,SUN Wen-hai,LI Da-jian,LIU Xin-yi,ZHANG En-dong,LIU Yan,SUN Cai-bo. Upper respiratory tract endoscopy in the diagnosis and treatment of chronic cough[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2007, 21(3): 224-226 |
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| Authors: | XUE Ling-jun SUN Wen-hai LI Da-jian LIU Xin-yi ZHANG En-dong LIU Yan SUN Cai-bo |
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| Affiliation: | Department of Otorhinolaryngology & Head and Neck Surgery, 1. Affiliated Weihai Hospital, Medical College of Qingdao University, Weihai 264200; 2. Affiliated Hospital of Medical College of Qingdao University, Qingdao 266023 |
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| Abstract: | Objective: To investigate the etiological factors of chronic cough and the effect of endoscopic examination of the upper respiratory tract. Method: Endoscopic examination of the upper respiratory tract and the assistance inspection were performed on 120 cases of chronic cough to explore the etiology. Results: In the 120 cases, posterior nasal drip syndrome was found in 47 cases, acidophile bronchitis and cough variability asthma in 32 cases, gastroesophageal reflux diseases in 35 cases, hysteria in 2 cases and unknown cause in 4 cases. After treatment, 98 cases were greatly improved in 3-7days, 106 patients felt obviously improved in 2 weeks, and 106 cases stopped taking medicine 1 week after the symptoms vanished. The other 14 cases were transferred to departments of paediatrics or psychology. Conclusion: Chronic cough is caused by many factors. Endoscopic examination is helpful in observing the slight pathological changes of the upper respiratory tract. |
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| Keywords: | Cough Endoscopy Diagnosis Respiratory system |
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