小儿咳嗽变异型哮喘的误诊分析

目的：探讨小儿咳嗽变异型哮喘（CVA）的误诊情况。方法：回顾性分析2006年1月至2008年1月间在我院曾被误诊的小儿咳嗽变异性哮喘患儿42例的临床资料，分析其临床特点、误诊原因及预防措施。结果：院外误诊35例，本院门诊误诊5例，病房误诊2例。误诊时间为15d～1a。误诊为支气管炎18例（42．86％），急性上呼吸道感染10例（23．81％），扁桃体炎6例（14．29％），慢性咽炎4例（9．52％），百日咳、支原体肺炎、肺门淋巴结结核、支气管异物各1例（2．38％）。结论：小儿咳嗽变异型哮喘临床症状不典型，临床医师需掌握其诊断要点，避免误诊。

Analysis on Misdiagnosis of Cough Variant Asthma in Child

Objective: To study the misdiagnosis of cough variant asthma in child.Method: The date of 42 children with cough variant asthma who were misdiagnosed in our hospital from January 2006 to January 2008 were analysed respectively to observe the clinical feature,causes of misdiagnosis and precaution.Result: There were 35 cases misdiagnosed outside of our hospital,5 cases misdiagnosed in clinic service of our hospital and 2 cases misdiagnosed in our patients' room.Tiem of misdiagnosis was from 15days to 1 year.There were 18 cases(42.86%) misdiagnosed as bronchitis,10 cases(23.81%) misdiagnosed as acute throat infection,6 cases(14.29%) misdiagnosed as tonsillitis,1 case(2.38%) misdiagnosed respectively as pertussis,mycoplasma pneumonia,hilar lymphonode tuberculosis and foreign body in bronchus.Conclusion: Clinical symptom of cough variant asthma in child is not typical,so clinician must grasp the main points of diagnosis to misdiagnosis.