慢性咳嗽87例分析 A3002

目的探讨慢性咳嗽病因。方法采用中华医学会呼吸病学分会制订的《咳嗽的诊断与治疗指南》中慢性咳嗽病因诊断流程,对2008年6月至2010年6月在我所就诊并确诊的87例X线胸片无明显异常的慢性咳嗽患者的临床资料进行研究。结果 87例慢性咳嗽患者中,检查确诊,咳嗽变异性哮喘(CVA)45例,占51.7%;鼻后滴注综合征(PNDS)12例,占13.8%;嗜酸粒细胞性支气管炎(EB)7例,占8.0%。食管反流疾病(GERC)3例,占3.4%;ACEI类降压药致咳2例,占2.3%;支气管炎11例,占12.6%;支气管内膜结核6例占6.9%;心因性咳嗽1例,占1.1%。结论慢性咳嗽是呼吸系统常见症状,病因复杂,涉及多个临床学科,应作好诊断及鉴别诊断。

Analysis of 87 cases of Chronic Cough

Objective To investigate the cause of chronic cough.Methods Adopted the etiological diagnosis process of chronic cough from "Cough Diagnosis and Treatment Guidelines" established by Chinese Medical Association.Studied the clinical data of 87 chronic cough patients with normal X-rays,from June 2008 to June 2010.Results Of the 87 patients with chronic cough,the distribution of causes were: cough variant asthma(CVA) 45 cases(51.7% of total);postnasal drip syndrome(PNDS) 12 cases(13.8%);eosinophilic bronchitis(EB) 7 cases,(8.0%).gastroesophageal reflux disease(GERC) 3 cases,(3.4%);ACEI classes of antihypertensive drug induced cough 2 cases,(2.3%);bronchitis 11 cases,(12.6%);endobronchial tuberculosis 6 cases,(6.9%);Psychogenic cough 1 case,(1.1%).Conclusion Cough is a common chronic respiratory symptom;the causes are complex,involving multiple clinical disciplines,we should make both the diagnosis and the differential diagnosis,and conduct treatment according to cause.