咳嗽变异性哮喘65例误诊分析

目的探讨咳嗽变异性哮喘(CVA)临床特点和误诊原因,提高其诊断水平。方法对65例CVA患者的临床资料进行回顾性分析。结果 65例患者全部误诊,其中误诊为急性上呼吸道感染25例(38.5%),慢性支气管炎18例(27.7%),急性支气管炎13例(20.0%),慢性咽炎8例(12.3%),过敏性鼻炎1例(1.5%)。治疗1周后,咳嗽基本消失21例(32.3%),明显缓解31例(47.7%),部分缓解13例(20.0%)。结论医师对本病认识不足、基层医院缺少必要的辅助检查是导致误诊的主要原因。

Misdiagnosis analysis of cough variant asthma:on 65 cases report

Objective To discuss the clinical characteristic and cause of misdiagnosis of cough variant asthma （CVA） ,to improve the diagnostic level. Methods Retrospectively analyzed the clinical data of 65 cases patients with CVA. Results All 65 cases patients were misdiagnosed, misdiagnosed as acute upper respiratory tract infection in 25 cases （ 38.5 % ）, chronic bronchitis 18 cases （ 27.7 % ）, acute bronchitis i 3 cases （ 20.0% ）, chronic pharyngitis 8 cases （ 12.3 % ）, allergic rhinitis 1 case （ 1.5 % ）. After treatment 1 week, cough disappeared in 21 cases （ 32.3 % ）, significantly ease 31 cases （47.7%）, partial remission 13 cases （20.0%）. Conclusion Physician lack of knowledge of the disease, primary hospitals lack the necessary auxiliary examinations is the leading cause of misdiagnosis.