上气道咳嗽综合征引起儿童慢性咳嗽58例临床分析

目的探讨上气道咳嗽综合征(UACS)引起儿童慢性咳嗽的临床特点。方法对58例确诊为UACS的患儿,根据临床表现、辅助检查及治疗作回顾性分析。结果 58例中有鼻部相关原发疾病以慢性鼻窦炎最多共27例(46.6%),其次为变应性鼻炎16例(27.6%),慢性鼻炎10例(17.2%),单纯腺样体炎5例(8.6%),均以慢性咳嗽为主诉,经过积极的抗炎与抗变态反应治疗,50例患儿在连续治疗2周后咳嗽症状缓解,8例患儿继续治疗1周后咳嗽症状缓解,所有鼻窦炎患儿在治疗3个月时复查鼻窦CT均示炎症完全吸收。结论上气道咳嗽综合征是引起儿童慢性咳嗽的主要原因之一,结合专科检查,积极治疗原发疾病,可有效地消除慢性咳嗽。

Children chronic cough caused by upper airway cough syndrome 58 cases clinical analysis

Objective To study the clinical characters of children chronic cough caused by upper airway cough syndrome.Methods A respective review of 58 cases diagnosed as upper airway cough syndrome,according to the clinical symptoms、 auxiliary examinations and treatments.Results Total of 58 cases had primary rhinal associated diseases.The first was chronic rhinosinusitis 27 cases(46.6%),the other three common were allergic rhinitis 16cases(27.6%),chronic rhinitis 10 cases(17.2%),simple adenoiditis 5 cases(8.6%).All patients’ chief complaint were chronic cough,after positive anti-infections and anti-allergy treatment,50 patients’ cough was relieved after two weeks of curious treatment.8 patients were relieved after three weeks.All cases with rhinosinusitis reexamination of paranasal sinus were absorbed completely after 3 months.Conclusion Upper airway cough syndrome is one of the primary causes of children chronic cough.Based on special examination and positive treatments with primary diseases,chronic cough could be effectively elminated.