鼻后滴漏综合征与儿童慢性咳嗽的关系

目的:探讨儿童慢性咳嗽与鼻后滴漏综合征(postnasal drip syndrome,PNDS)的关系。方法:回顾性分析2002年6月至2005年6月我院收治的75例以鼻后滴漏为主要临床特点并发慢性咳嗽的鼻-鼻窦疾病患儿的诊治过程。结果:本组均以慢性咳嗽为主诉,而慢性鼻炎、鼻窦炎、变应性鼻炎、腺样体炎是PNDS引起慢性咳嗽的常见原因。本组误诊为反复呼吸道感染、气管炎、变异性哮喘、异物、肺炎等30例,漏诊13例,误、漏诊率为56.7%。结论:鼻、鼻窦疾病所致鼻后滴漏可以并发慢性咳嗽,而不表现出典型、明确的鼻-鼻窦疾病症状。临床工作中应积极治疗鼻、鼻窦疾病,避免误、漏诊。

Correlation between chronic cough and postnasal drip syndrome in children

Objective: To explore the correlation between chronic cough and postnasal drip syndrome(PNDS) in children.Method: A retrospective study was carried out among 75 cases of postnasal drip syndrome.Results: Chronic cough was the main complaint but no obvious lesions were found in the throat,trachea and branches,however,definite lesions were determined in the nasal cavity and/or paranasal sinuses including chronic rhinitis,nasosinusitis,allergic rhinitis and adenoiditis. 30 cases were misdiagnosed as repetitive respiratory infection,bronchitis,variant asthma,foreign bodies in the respiratory tract,or pneumonia,and in 13 cases a diagnosis was missed.Conclusion: Postnasal drip syndrome can be cured following effective treatment.