| 支气管激发试验在儿童不明原因慢性咳嗽诊断中的价值 |
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| 引用本文： | 余嘉璐,邓力,林俊宏,刘影芬.支气管激发试验在儿童不明原因慢性咳嗽诊断中的价值[J].现代医院,2011,11(5):11-13. |
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| 作者姓名： | 余嘉璐 邓力 林俊宏 刘影芬 |
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| 作者单位： | 广州市妇女儿童医疗中心,广东广州,510120 |
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| 摘 要： | 目的评价二磷酸组织胺气管激发试验(BPT)在儿童不明原因慢性咳嗽诊断中的价值。方法对105例慢性咳嗽患者进行二磷酸组织胺支气管激发试验,检测其气道高反应性,并结合患者的病史、家族史、个人史,达到明确诊断的目的。结果 105例慢性咳嗽患者中,以男性为主,共88例,占83.8%;女性17例,占16.2%。BPT阳性79例,阴性26例,阳性率75.2%。慢性咳嗽病因频率分布:咳嗽变异性哮喘(CoughVariant Asthma,CVA)43例,占40.9%;感染后咳嗽30例,占28.6%;上气道咳嗽综合征(Upper Airway CoughSyndorme,UACS)22例,占20.9%;其余心因性咳嗽(Psychogenic ccough)4例;支气管异物2例;胃食管反流性咳嗽(Gastro-esophageal Reflux Cough,GERC)1例;支气管扩张症1例;病因未明2例。CVA是目前儿童慢性咳嗽的主要病因。结论对不明原因的慢性咳嗽患者及时进行BPT,有助于早期明确诊断并施以正确治疗。
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| 关 键 词： | 慢性咳嗽 咳嗽变异型哮喘 支气管激发试验 诊断 |
EVALUATION OF BRONCHIAL PROVOCATION TEST IN DIAGNOSING CHILDREN WITH UNEXPLAINED CHRONIC COUGH |
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| YU Jialu,DENG Li,LIN Junhong,et al Guangzhou Women , Children's Medical Center,Guangzhou City,Guangdong Province PRC.EVALUATION OF BRONCHIAL PROVOCATION TEST IN DIAGNOSING CHILDREN WITH UNEXPLAINED CHRONIC COUGH[J].Modern Hospital,2011,11(5):11-13. |
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| Authors: | YU Jialu DENG Li LIN Junhong Guangzhou Women Children's Medical Center Guangzhou City Guangdong Province PRC |
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| Institution: | YU Jialu,DENG Li,LIN Junhong,et al Guangzhou Women and Children's Medical Center,Guangzhou City,Guangdong Province 510120 PRC |
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| Abstract: | Objective To assess the effect of Bisphosphate histamine Broncheal Provocation Tests(BPT)on diagnosing children with unknown cause chronic cough.Methods Do BPT test on 105 chronic cough sufferers,check their airway hyperreactivity,and clarify diagnosis with medical history,family history or personal history.Results In those 105 sufferers,most are male-total 88 male sufferers which take up 83.8%;and 17 female sufferers which take up 16.2%.79 BPT positive and 26 BPT negative,positive accounts for 75.2%.Etiolo... |
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| Keywords: | Chronic cough Cough variant asthma Bronchial provocation test Diagnosis |
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