咳嗽变异型哮喘38例临床分析  

Clinical analysis of 38 cases with cough variation asthma

作　　者：林美英[1] 

机构地区：[1]山东省胸科医院,250013

出　　处：《临床肺科杂志》2005年第4期495-496,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的了解咳嗽变异型哮喘的诊断和治疗情况。方法回顾性分析38例咳嗽变异型哮喘的临床特点、诊疗方法和治疗效果。咳嗽可为唯一表现,或伴有胸闷、或伴少许白痰,呈刺激性、阵发性剧烈咳嗽,以夜间尤其是后半夜发作明显,双肺均无干湿性罗音,胸部X线检查均无异常,支气管扩张试验阳性,经抗过敏、扩张支气管和激素治疗,均获得显著疗效。结论咳嗽变异型哮喘临床并非少见,但常易误诊造成病人延误治疗、费用增高。Objective To understand the diagnosis and the treatment of cough variations asthma (CAV). Methods To review 38 cases of CAV and study its clinical characters diagnosis and curative effect. Results The clinical data of 38 cases showed that cough seemed to be the only apparent symptom, along with chest distress and with little white sputum. Cough was excitant, paroxysmal and severe. It usually happened at midnight, there were not moist rate and rhonchi in all cases. Chest X-ray examination was normal in all cases. The bronchodilatation test result was positive. The outstanding curative effects of 38 cases were obtained after anti-allergy, dilating bronchi and cortical hormone treatment. Conclusion CVA is common in clinic which is often misdiagnosed. The treatment of the disease should be on-time as the a delayed treatment is harmful for the patients' recovery and costly.

关 键 词：咳嗽变异型哮喘 CVA 支气管哮喘 炎症反应 支气管黏膜 

分 类 号：R562.25[医药卫生—呼吸系统]