慢性咳嗽112例临床分析

目的探讨慢性咳嗽的病因分布和诊治。方法对就诊的慢性咳嗽患者112例,针对病因进行特异性治疗。结果本组诊断明确者107例,其中咳嗽变异性哮喘51例(45.54%),鼻后滴漏综合征29例(25.89%),嗜酸性粒细胞性支气管炎17例(15.18%),胃食管反流6例(5.36%),其他原因4例(3.57%)。107例确诊患者经特异性治疗后,98例(91.59%)咳嗽症状完全消失,9例(8.41%)症状明显减轻。结论慢性咳嗽的解剖学诊断流程及诱导痰细胞分类学检查是诊断慢性咳嗽的重要手段。咳嗽变异性哮喘、鼻后滴漏综合征、嗜酸性粒细胞性支气管炎、胃食管反流是慢性咳嗽的主要病因,大部分患者经特异性治疗后咳嗽症状消失。

Clinical Analysis of 112 Cases with Chronic Cough

Objective To investigate the cause and treatment of chronic cough.Methods 112 patients with chronic cough carried out specificity treatment according to etiopathogenisis.Results Among 107 cases with definite diagnosis,51 cases were cough variant asthma(45.54%),29 cases were postnasal drip syndrome(25.89%),17 cases were eosinophilic bronchitis(15.18%),6 cases were gastroesophageal reflux cough(5.36%),4 cases were other causes(3.57%).After specific therapy,cough in 98 patients(91.5%)disappeared and symptoms in 8 patients(8.41%)alleviated obviously.Conclusion Anatomic diagnosis of chronic cough and sputum cell classification process examination were important methods to diagnose chronic cough.Cough variant asthma,postnasal drip syndrome,eosinophilic bronchitis,gastroesophageal reflux were major causes of chronic cough,symptoms in the majority of patients disappeared after specific treatment.