134例慢性咳嗽病因及诊治分析

目的探讨慢性咳嗽的常见原因,寻找有效的治疗方法。方法通过询问病史、体格检查、胸部X线检查、肺功能、食道24hpH值监测等检查,回顾分析笔者所在科室收治的134例慢性咳嗽患者的临床资料。结果主要病因为咳嗽变异性哮喘55例(41.04%),其次是鼻后滴流综合征24例(17.91%),胃食管反流性咳嗽23例(17.16%),嗜酸性粒细胞性支气管炎11例(8.21%),变应性咳嗽4例(2.99%),ACEI诱发的咳嗽4例(2.99%),心理性咳嗽3例(2.24%),支气管内膜结核3例(2.24%),不明原因咳嗽7例(5.22%)。均予对症治疗,取得满意疗效。结论慢性咳嗽要查明原因,拓宽思路,采用分步诊断程序,针对病因进行治疗,避免盲目使用抗生素。

134 cases of chronic cough etiologyiagnosis and treatment analysis

Objective To analysis common cause of chronic cough,find out the effective method of treatment.Methods A retrospective analysis clinical data of 134 patients with chronic cough by inquiring disease history,medical examination,chest X-ray,pulmonary function test,the value of monitoring esopHageal 24 h pH inception Etc.Results the primary cause for chronic cough with cough variant asthma 55 cases(41.04%) ,followed by postnasal drip syndrome 24 patients(17.91%) ,gastroesopHageal reflux cough 23 cases(17.16%) ,eosinopHilic bronchitis11 cases(8.21%) ,allergic cough in 4 cases(2.99%) ,ACEI-induced cough in 4 cases(2.99%) ,psychogenic cough in 3 cases(2.24%) ,3 cases of endobronchial tuberculosis(2.24%) ,unexplained cough in 7 cases(5.22%) .To symptomatic treatment,achieve a satisfactory effect.Conclusion To identify the reasons for chronic cough,broaden thinking,the use of step by step diagnostic procedures,treatment for the cause,to avoid the blind use of antibiotics.