| 临床资料对儿童慢性咳嗽病因的诊断价值 |
| |
| 引用本文： | 张晓波,农光民. 临床资料对儿童慢性咳嗽病因的诊断价值[J]. 实用儿科临床杂志, 2011, 26(4) |
| |
| 作者姓名： | 张晓波 农光民 |
| |
| 作者单位： | 广西医科大学第一附属医院,儿科,南宁,530021 |
| |
| 基金项目： | 中华医学会临床医学慢性呼吸道疾病科研专项资金(082020760154) |
| |
| 摘 要： | 目的 探讨临床资料对儿童慢性咳嗽病因的诊断价值.方法 选择2008年12月-2010年1月在广西医科大学第一附属医院儿科就诊的慢性咳嗽患儿117例,通过前瞻性的临床研究方法 ,获得慢性咳嗽患儿详细的临床资料和病因,分析临床资料对病因诊断的作用.结果 本组慢性咳嗽的病因为咳嗽变异性哮喘(CVA)、上呼吸道咳嗽综合征(UACS)、感染后咳嗽(PIC)、变应性咳嗽(AC)、多发性抽动(TS)和心因性咳嗽(PC)等.CVA以夜间晨起干咳为主,可伴活动后咳嗽增多;UACS以咳痰为主,多伴有鼻症状;感染后咳嗽病程多在2个月内;PC可为响亮的日间干咳;TS同时有抽动表现.性别、个人及家族过敏史、被动吸烟等在不同病因慢性咳嗽间无差异.UACS常见的上呼吸道异常为鼻窦炎、变应性鼻炎、腺样体肥大;CVA多有嗜酸性粒细胞增高或皮肤变应原阳性.结论 CVA、UACS、PIC是儿童慢性咳嗽的常见病因.临床资料对慢性咳嗽的病因诊断有较大的提示作用,年龄、病程、咳嗽特征可提供病因诊断线索;上呼吸道异常,特别是鼻窦炎患者要注意有无UACS;嗜酸性粒细胞增高或皮肤变应原阳性可提示CVA的诊断.
|
| 关 键 词： | 慢性咳嗽 临床表现 病因 儿童 |
Diagnostic Value of Clinical Manifestation for Etiology of Chronic Cough in Children |
| |
| ZHANG Xiao-bo , NONG Guang-min. Diagnostic Value of Clinical Manifestation for Etiology of Chronic Cough in Children[J]. Journal of Applied Clinical Pediatrics, 2011, 26(4) |
| |
| Authors: | ZHANG Xiao-bo NONG Guang-min |
| |
| Affiliation: | ZHANG Xiao-bo,NONG Guang-min(Department of Pediatrics,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi Zhuang Autonomous Region,China) |
| |
| Abstract: | Objective To explore the value of clinical manifestation for etiological diagnosis in children with chronic cough.Methods A prospective cohort study of 117 patients with chronic cough who referred to the First Affiliated Hospital of Guangxi Medical University from Dec.2008 to Jan.2010.The etiological diagnostic procedure adopted in this study was suggested for children by pediatric branch of chinese medical association.The detailed clinical manifestation and etiology of chronic cough were acquired in recrui... |
| |
| Keywords: | chronic cough clinical manifestation etiology child |
| 本文献已被 CNKI 万方数据 等数据库收录！ |
